Nontraumatic Aneurysm—An Unusual Cause of Epistaxis

Mathew, Shilpa; Kurien, Regi; Varghese, Lalee

doi:10.1177/0145561320956483

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…We believe that because the non-nasal septal surface is curved, the centrifugal force of blood flow is larger. Vascular rupture here may be the result of fibrosis of the arterial middle layer caused by hypertension ( 8 ), or atherosclerosis ( 9 ), or a vascular malformation ( 10 ).…”

Section: Discussionmentioning

confidence: 99%

Etiology and clinical characteristics of primary epistaxis

Li¹,

Luo²,

Li³

et al. 2023

Ann Transl Med

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Background Primary epistaxis (rupture of nasal artery vessels) is a common emergency, but the related factors are still controversial. This study collected the data on primary epistaxis patients and healthy people undergoing a physical examination at the same center to explore and classify primary epistaxis by its characteristics. Methods Primary epistaxis was divided into septal epistaxis and non-septal epistaxis, and logistic regression was performed to determine the risk factors. Results In total, 196 cases of septal epistaxis and 127 cases of non-septal epistaxis, and the control group was 182 healthy subjects. There were significant differences in sex, drinking history, hypertension history and hyperlipidemia between the bleeding group and the control group, but no correlation with smoking, diabetes, cardiovascular and cerebrovascular events, or anticoagulant drug use. In the age group of 26–40 years it was related to alcohol consumption and hypertension, for those aged 41–55 years it was related to hypertension, in the age group of 56–70 years it was related to hypertension, high triglyceride and high apolipoprotein B levels, and no related factors were found in the age group >70 years. The risk factors for non-septal cases were increased low-density lipoprotein (LDL) [P=0.035; odds ratio (OR), 2.450; 95% confidence interval (CI): 1.067–5.624], male sex (P=0.002; OR, 3.136; 95% CI: 1.501–6.554), and younger age (P=0.000; OR, 0.941; 95%CI: 0.920–0.962). All patients with nosebleed underwent nasal endoscopy and the bleeding site was successfully located and treated with electrocoagulation. No further bleeding or serious complications occurred after 6 months of follow-up. Conclusions Primary epistaxis is more common in males and is related to alcohol consumption, hypertension, and hyperlipidemia. In the young age groups, male sex, and increased LDL were high risk factors for non-septal hemorrhage in winter and spring. Nasal endoscopy and electrocoagulation are safe and effective.

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Section: Discussionmentioning

confidence: 99%

Etiology and clinical characteristics of primary epistaxis

Li¹,

Luo²,

Li³

et al. 2023

Ann Transl Med

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Relationship Between Air Pollutants and the Incidence of Epistaxis in Yangzhou

Zhu,

Chen,

Guan

et al. 2024

Ear Nose Throat J

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Objectives: This project aims to explore the relationship between the air quality index (AQI), the concentration of 6 air pollutants, and the incidence of epistaxis in Yangzhou. Also, to provide reference information for the prevention and treatment of epistaxis. Methods: Data of patients with epistaxis admitted to the Northern Jiangsu People’s Hospital Affiliated to Yangzhou University from January 2017 to December 2021 were collected. In addition, the local AQI and the concentrations of 6 air pollutants, namely particulate matter (PM2.5, PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), carbon monoxide (CO), and ozone (O3), were analyzed at the time of onset. Furthermore, the correlation with the incidence of epistaxis has been analyzed. Results: From 2017 to 2021, there were 24,721 patients with epistaxis aged from 0 to 17 years old while male patients were more than females. The incidence was higher in April, May, and June. There was a statistically significant difference in the number of daily epistaxis in different months and under AQI conditions ( P < .05). Spearman’s correlation analysis showed that there was a positive correlation between the number of daily epistaxis and the concentrations of AQI, CO, NO2, O3, PM2.5, PM10, and SO2 in Yangzhou, in which O3, PM10, and SO2 were highly correlated with the average number of daily epistaxis, and there was no obvious time lag effect of air pollutants on epistaxis. Conclusion: Epistaxis in the Yangzhou area is more common in males, mostly occurs in 0 to 17 years old, with seasonal. There was also a positive correlation between the incidence of epistaxis and air pollutants in Yangzhou. Therefore, by reducing the AQI index in daily life, and reducing the concentration of environmental pollutants in the air, the occurrence of epistaxis could be prevented and reduced to a certain extent.

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Nontraumatic Aneurysm—An Unusual Cause of Epistaxis

Cited by 2 publications

References 9 publications

Etiology and clinical characteristics of primary epistaxis

Etiology and clinical characteristics of primary epistaxis

Relationship Between Air Pollutants and the Incidence of Epistaxis in Yangzhou

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