Aetiology and Management of Epistaxis: A Study from a Tertiary Care Hospital in North Karnataka
Authors/Creators
- 1. Assistant Professor, Department of ENT, Travancore Medical College, Kollam, Kerala, India
- 2. Consultant ENT Surgeon, Pearl Hospital, Karunagappally, Kollam, Kerala, India
Description
Background: Epistaxis is one of the most common emergencies that otorhinolaryngologists see in the out-patient department as well as in casualties. Causes of epistaxis can range from a simple self-limiting condition to a more sinister malignant lesion that needs a radical approach. Epistaxis can be managed medically, with nasal packing or surgically, depending on the situation and cause of bleeding. Methods: The study was conducted in the Department of ENT, VIMS, Ballari, during the period from December 2014 to May 2016. The prospective study included 75 patients attending the department of ENT and also patients referred from other departments of VIMS Hospital, Ballari. Once the diagnosis was made, they were managed medically (conservatively), with anterior or posterior nasal packing and if needed, surgically, and the patients were followed up for a period of 6 months. The collected data was tabulated and subjected to statistical analysis. Results: In our study, epistaxis was more common in males in the age group of more than 40 years, with 41.2% suffering from trauma, followed by hypertension as the second most common case. 40% of the patients needed combined modalities, including medical, anterior nasal packing and surgical management, 29% were managed medically. 18.6% required anterior nasal packing along with pharmacotherapy, 12% got controlled only when both anterior and posterior nasal packing were done. 97.3% of the patients had no recurrence on follow up for 6 months. Conclusion: The study shows that epistaxis is more common in trauma patients, followed by hypertension with the combined modality of medical, anterior nasal packing and surgical management being the most effective mode of management with minimum recurrence.
Abstract (English)
Background: Epistaxis is one of the most common emergencies that otorhinolaryngologists see in the out-patient department as well as in casualties. Causes of epistaxis can range from a simple self-limiting condition to a more sinister malignant lesion that needs a radical approach. Epistaxis can be managed medically, with nasal packing or surgically, depending on the situation and cause of bleeding. Methods: The study was conducted in the Department of ENT, VIMS, Ballari, during the period from December 2014 to May 2016. The prospective study included 75 patients attending the department of ENT and also patients referred from other departments of VIMS Hospital, Ballari. Once the diagnosis was made, they were managed medically (conservatively), with anterior or posterior nasal packing and if needed, surgically, and the patients were followed up for a period of 6 months. The collected data was tabulated and subjected to statistical analysis. Results: In our study, epistaxis was more common in males in the age group of more than 40 years, with 41.2% suffering from trauma, followed by hypertension as the second most common case. 40% of the patients needed combined modalities, including medical, anterior nasal packing and surgical management, 29% were managed medically. 18.6% required anterior nasal packing along with pharmacotherapy, 12% got controlled only when both anterior and posterior nasal packing were done. 97.3% of the patients had no recurrence on follow up for 6 months. Conclusion: The study shows that epistaxis is more common in trauma patients, followed by hypertension with the combined modality of medical, anterior nasal packing and surgical management being the most effective mode of management with minimum recurrence.
Files
IJPCR,Vol15,Issue8,Article174.pdf
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Additional details
Dates
- Accepted
-
2023-08-09
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue8,Article174.pdf
- Development Status
- Active
References
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