Etiological Profile and Management of Epistaxis in Tertiary Care Hospital
Introduction: Epistaxis is a common otolaryngological emergency condition. It occurs due to local and systemic cause. Local cause lies within the nose bleeding either anterior or posterior. Commonest site of bleeding anterior epistaxis is kiesselbach’s plexus. In posterior epistaxis, it is difficult...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Gandaki Medical College Teaching Hospital & Research Centre Pvt. Ltd.
2019-02-01
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| Series: | Journal of Gandaki Medical College |
| Subjects: | |
| Online Access: | https://www.nepjol.info/index.php/JGMCN/article/view/22603 |
| _version_ | 1797449620885864448 |
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| author | B Sigdel R Nepali Neeraj KC T Dubey B Neupane D Sigdel |
| author_facet | B Sigdel R Nepali Neeraj KC T Dubey B Neupane D Sigdel |
| author_sort | B Sigdel |
| collection | DOAJ |
| description | Introduction: Epistaxis is a common otolaryngological emergency condition. It occurs due to local and systemic cause. Local cause lies within the nose bleeding either anterior or posterior. Commonest site of bleeding anterior epistaxis is kiesselbach’s plexus. In posterior epistaxis, it is difficult to locate bleeding site. Epistaxis is controlled by simply pinching of nose, decongested nasal drop and abgel packing. Some cases become more challenging required nasal packing and arterial ligation.
Objectives: To study the epidemiological pattern and management of epistaxis.
Methods: This was a retrospective study on pattern of epistaxis managed at Gandaki Medical College Teaching Hospital over a period from April 2015 to April 2016. Information regarding demographic profile, presentation and management of epistaxis was obtained from the Hospital records, ENT Outpatient clinic, Emergency Department, ENT ward and operation theatre.
Results: A total of 78 cases were managed during study period. There was a significant male preponderance with male to female ratio 1.78:1. Patients’ age varied from eight to 80 years with mean age 40.7 years. The peak age of incidence was 21 - 30 years group. Idiopathic nasal bleeding 27 (34.6%) was commonest followed by nasal trauma 23 (29.5%) cases and hypertension 16 (20.5%) cases. Seventeen (21.8%) cases managed in day care basis with decongested nasal drop, chemical cautery and abgel packing. Remaining cases required nasal packing and bipolar cautery and other specific form of treatment. Five (6.4%) cases required sphenopalatine artery ligation with no recurrence of bleeding.
Conclusions: Epistaxis is common ENT emergency. Most common causes are idiopathic followed by nasal trauma and hypertension. Prompt management is instituted according to cases. Most of the cases are managed by non-surgical method. |
| first_indexed | 2024-03-09T14:27:41Z |
| format | Article |
| id | doaj.art-54ce795c6e5045b1b36672288464591c |
| institution | Directory Open Access Journal |
| issn | 2070-4240 2070-4259 |
| language | English |
| last_indexed | 2024-03-09T14:27:41Z |
| publishDate | 2019-02-01 |
| publisher | Gandaki Medical College Teaching Hospital & Research Centre Pvt. Ltd. |
| record_format | Article |
| series | Journal of Gandaki Medical College |
| spelling | doaj.art-54ce795c6e5045b1b36672288464591c2023-11-28T05:01:23ZengGandaki Medical College Teaching Hospital & Research Centre Pvt. Ltd.Journal of Gandaki Medical College2070-42402070-42592019-02-01121131610.3126/jgmcn.v12i1.2260322603Etiological Profile and Management of Epistaxis in Tertiary Care HospitalB Sigdel0R Nepali1Neeraj KC2T Dubey3B Neupane4D Sigdel5Gandaki Medical College & Teaching Hospital, pokhara, NepalGandaki Medical College & Teaching Hospital, Pokhara, NepalGandaki Medical College & Teaching Hospital, Pokhara, NepalGandaki Medical College & Teaching Hospital, Pokhara, NepalManipal College of Medical Sciences, Pokhara, NepalMcMaster University,1280 Main Street West, Hamilton, ON, L8N4L8, CanadaIntroduction: Epistaxis is a common otolaryngological emergency condition. It occurs due to local and systemic cause. Local cause lies within the nose bleeding either anterior or posterior. Commonest site of bleeding anterior epistaxis is kiesselbach’s plexus. In posterior epistaxis, it is difficult to locate bleeding site. Epistaxis is controlled by simply pinching of nose, decongested nasal drop and abgel packing. Some cases become more challenging required nasal packing and arterial ligation. Objectives: To study the epidemiological pattern and management of epistaxis. Methods: This was a retrospective study on pattern of epistaxis managed at Gandaki Medical College Teaching Hospital over a period from April 2015 to April 2016. Information regarding demographic profile, presentation and management of epistaxis was obtained from the Hospital records, ENT Outpatient clinic, Emergency Department, ENT ward and operation theatre. Results: A total of 78 cases were managed during study period. There was a significant male preponderance with male to female ratio 1.78:1. Patients’ age varied from eight to 80 years with mean age 40.7 years. The peak age of incidence was 21 - 30 years group. Idiopathic nasal bleeding 27 (34.6%) was commonest followed by nasal trauma 23 (29.5%) cases and hypertension 16 (20.5%) cases. Seventeen (21.8%) cases managed in day care basis with decongested nasal drop, chemical cautery and abgel packing. Remaining cases required nasal packing and bipolar cautery and other specific form of treatment. Five (6.4%) cases required sphenopalatine artery ligation with no recurrence of bleeding. Conclusions: Epistaxis is common ENT emergency. Most common causes are idiopathic followed by nasal trauma and hypertension. Prompt management is instituted according to cases. Most of the cases are managed by non-surgical method.https://www.nepjol.info/index.php/JGMCN/article/view/22603endoscopyepistaxisnasal packing |
| spellingShingle | B Sigdel R Nepali Neeraj KC T Dubey B Neupane D Sigdel Etiological Profile and Management of Epistaxis in Tertiary Care Hospital Journal of Gandaki Medical College endoscopy epistaxis nasal packing |
| title | Etiological Profile and Management of Epistaxis in Tertiary Care Hospital |
| title_full | Etiological Profile and Management of Epistaxis in Tertiary Care Hospital |
| title_fullStr | Etiological Profile and Management of Epistaxis in Tertiary Care Hospital |
| title_full_unstemmed | Etiological Profile and Management of Epistaxis in Tertiary Care Hospital |
| title_short | Etiological Profile and Management of Epistaxis in Tertiary Care Hospital |
| title_sort | etiological profile and management of epistaxis in tertiary care hospital |
| topic | endoscopy epistaxis nasal packing |
| url | https://www.nepjol.info/index.php/JGMCN/article/view/22603 |
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