Pattern of epistaxis in Sokoto, Nigeria: A review of 72 cases

Iseh, KR; Muhammad, Zardad

doi:10.4103/1596-3519.55668

Cited by 33 publications

(55 citation statements)

References 9 publications

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“…(11) In this study, surgical treatment was done only in 0.87% of patients who presented with bleeding intranasal tumor with 100% success rate. Similar finding was also reported in Iseh Kr et al (25) In our series, no surgical ligation of vessel was required. Arterial ligation is necessary in intractable cases of epistaxis when conservative measures fail.…”

Section: Discussionsupporting

confidence: 79%

Epistaxis - Etiological Profile and Treatment Outcome at a Tertiary Care Centre

Shah¹,

Amin²,

Nazir³

2015

jemds

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BACKGROUND:Epistaxis is the commonest otolaryngological emergency affecting up to 60% of the population in their lifetime, with 6% requiring medical attention. This study was conducted to describe the etiological profile and treatment outcome of epistaxis at SKIMS Medical College, Bemina, Srinagar, a tertiary care hospital. METHODS: This was a prospective descriptive study of the cases of epistaxis managed at SKIMS Medical College, Bemina, Srinagar, a tertiary care hospital, from July 2014 to January 2015.All patients of acute epistaxis due to any cause were included. The data for the following variables was collected; gender, age, age group, cause, type and laterality of epistaxis and success rate of treatment modalities. RESULTS: A total of 114 patients with epistaxis were studied. Males were affected more than the females (1.8:1). Their mean age was 32.24 ± 12.54 years (range 4 to 82 years). The commonest cause of epistaxis was trauma (46.22%) followed by hypertension (25.43%) and idiopathic (18.43%). Anterior nasal bleeding was noted in majority of the patients (69.29%). Non-surgical measures were the main intervention methods in 99.12% of cases and of this, local cauterization (49.12%) and anterior nasal packing (26.31%) were most common non-surgical measures. Surgical measures mainly tumor resection was carried out in 0.87% of cases. The overall success rate of treatment was 92.0%. CONCLUSION: Epistaxis is the commonest otolaryngological emergency. Trauma resulting from road traffic accident (RTA) remains the most common etiological factor for epistaxis. Most cases can be successfully managed with conservative (non-surgical) treatment alone and surgical intervention with its potential complications may not be necessary in most cases and should be the last resort. Reducing the incidence of trauma from RTA will reduce the incidence of emergency epistaxis.

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Section: Discussionsupporting

confidence: 79%

Epistaxis - Etiological Profile and Treatment Outcome at a Tertiary Care Centre

Shah¹,

Amin²,

Nazir³

2015

jemds

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“…Earlier report from Nigeria also showed that some patients had epistaxis when their HT was not controlled due to cessation of antihypertensive drug therapy. 9 Varshney and Saxena 5 recorded hypertension as the second commonest cause of epistaxis after idiopathic causes in India, while Chaiyasate et al 2 reported hypertension to be the commonest cause of epistaxis followed by idiopathic causes in Thailand. The need for regular blood pressure check-up and compliance to antihypertensive medications must be emphasized.…”

Section: Discussionmentioning

confidence: 99%