Rigid Nasal Endoscopy in the Diagnosis and Treatment of Epistaxis
Background and Objectives: Epistaxis is one of the common symptoms encountered in the Otorhinolaryngology department. Many times the cause for epistaxis is not found on anterior and posterior rhinoscopy. The present study was undertaken to assess the role of rigid nasal endoscope in the diagnosi...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2013-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/2995/12-%204421_PF1(M)_E(C)_F(T)_PF1(M)_PF1(T)_FA(T)_PF1(PP)_PF3(HP).pdf |
| _version_ | 1819206440716337152 |
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| author | Vinay Kumar M.V. Raghavendra Prasad K.U. Belure Gowda P.R. Manohar S.R. Chennaveerappa P.K. |
| author_facet | Vinay Kumar M.V. Raghavendra Prasad K.U. Belure Gowda P.R. Manohar S.R. Chennaveerappa P.K. |
| author_sort | Vinay Kumar M.V. |
| collection | DOAJ |
| description | Background and Objectives: Epistaxis is one of the common
symptoms encountered in the Otorhinolaryngology department.
Many times the cause for epistaxis is not found on anterior and
posterior rhinoscopy. The present study was undertaken to
assess the role of rigid nasal endoscope in the diagnosis and
treatment of epistaxis, where normal anterior and posterior
rhinoscopy did not reveal any specific finding.
Methods: Fifty patients with epistaxis were studied using rigid
nasal endoscope under local anaesthesia. Patients who were
above 15 years with nasal bleeding and who were willing for
rigid nasal endoscopy were included in the study. Patients less
than 15 years were not included in the study because nasal
endoscopy was difficult in them under local anaesthesia. Only
those patients in whom, the cause for epistaxis could not be
made out on anterior and posterior rhinoscopy were chosen for
the study, this was done in order to remove the bias for nasal
endoscopy.
Results: The use of the nasal endoscope allowed diagnosis of
bleeding points and treating them directly. Epistaxis was more
in male patients especially in the 3rd and after the 5th decade.
On endoscopic examination,the bleeding points were identified
as coming from the crevices of the lateral nasal wall, posterior
spur on the septum, posterior deviation of the septum with ulcer,
congested polyps, enlarged and congested adenoids, scabs or
crusts in the crevices of the lateral nasal wall and angiofibroma.
Endoscope also helps in the treatment of epistaxis, which
includes endoscopic selective nasal packing using gelfoam,
endoscopic cautery or diathermy and endoscopic polypectomy.
Other patients with adenoids, scabs and crusts and angiofibroma
were managed on their merits.
Interpretation and Conclusion: Nasal endoscopy helps not only
in the localisation of the bleeding point but also in the treatment
of those bleeding areas that are situated in the posterior and
lateral part of the nose. |
| first_indexed | 2024-12-23T05:07:38Z |
| format | Article |
| id | doaj.art-8162aace75d14ef48bbd5884df284b7e |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-23T05:07:38Z |
| publishDate | 2013-05-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-8162aace75d14ef48bbd5884df284b7e2022-12-21T17:59:03ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2013-05-017583183310.7860/JCDR/2013/4421.2995Rigid Nasal Endoscopy in the Diagnosis and Treatment of EpistaxisVinay Kumar M.V.0Raghavendra Prasad K.U.1Belure Gowda P.R.2Manohar S.R.3Chennaveerappa P.K.4Assitant Professor, Department of ENT, Hassan Institute of Medical Sciences, Hassan, Karnataka, India.Associate Professor, Department of ENT, Hassan Institute of Medical Sciences, Hassan, Karnataka, India.Senior Resident, Department of ENT, Hassan Institute of Medical Sciences, Hassan, Karnataka, India.Senior Resident, Department of ENT, Hassan Institute of Medical Sciences, Hassan, Karnataka, India.Associate Professor, Department of Respiratory Medicine, Hassan Institute of Medical Sciences, Hassan, Karnataka, India.Background and Objectives: Epistaxis is one of the common symptoms encountered in the Otorhinolaryngology department. Many times the cause for epistaxis is not found on anterior and posterior rhinoscopy. The present study was undertaken to assess the role of rigid nasal endoscope in the diagnosis and treatment of epistaxis, where normal anterior and posterior rhinoscopy did not reveal any specific finding. Methods: Fifty patients with epistaxis were studied using rigid nasal endoscope under local anaesthesia. Patients who were above 15 years with nasal bleeding and who were willing for rigid nasal endoscopy were included in the study. Patients less than 15 years were not included in the study because nasal endoscopy was difficult in them under local anaesthesia. Only those patients in whom, the cause for epistaxis could not be made out on anterior and posterior rhinoscopy were chosen for the study, this was done in order to remove the bias for nasal endoscopy. Results: The use of the nasal endoscope allowed diagnosis of bleeding points and treating them directly. Epistaxis was more in male patients especially in the 3rd and after the 5th decade. On endoscopic examination,the bleeding points were identified as coming from the crevices of the lateral nasal wall, posterior spur on the septum, posterior deviation of the septum with ulcer, congested polyps, enlarged and congested adenoids, scabs or crusts in the crevices of the lateral nasal wall and angiofibroma. Endoscope also helps in the treatment of epistaxis, which includes endoscopic selective nasal packing using gelfoam, endoscopic cautery or diathermy and endoscopic polypectomy. Other patients with adenoids, scabs and crusts and angiofibroma were managed on their merits. Interpretation and Conclusion: Nasal endoscopy helps not only in the localisation of the bleeding point but also in the treatment of those bleeding areas that are situated in the posterior and lateral part of the nose.https://jcdr.net/articles/PDF/2995/12-%204421_PF1(M)_E(C)_F(T)_PF1(M)_PF1(T)_FA(T)_PF1(PP)_PF3(HP).pdfepistaxisrigid nasal endoscopeselective nasal packingcautery or diathermy |
| spellingShingle | Vinay Kumar M.V. Raghavendra Prasad K.U. Belure Gowda P.R. Manohar S.R. Chennaveerappa P.K. Rigid Nasal Endoscopy in the Diagnosis and Treatment of Epistaxis Journal of Clinical and Diagnostic Research epistaxis rigid nasal endoscope selective nasal packing cautery or diathermy |
| title | Rigid Nasal Endoscopy in the Diagnosis and Treatment of Epistaxis |
| title_full | Rigid Nasal Endoscopy in the Diagnosis and Treatment of Epistaxis |
| title_fullStr | Rigid Nasal Endoscopy in the Diagnosis and Treatment of Epistaxis |
| title_full_unstemmed | Rigid Nasal Endoscopy in the Diagnosis and Treatment of Epistaxis |
| title_short | Rigid Nasal Endoscopy in the Diagnosis and Treatment of Epistaxis |
| title_sort | rigid nasal endoscopy in the diagnosis and treatment of epistaxis |
| topic | epistaxis rigid nasal endoscope selective nasal packing cautery or diathermy |
| url | https://jcdr.net/articles/PDF/2995/12-%204421_PF1(M)_E(C)_F(T)_PF1(M)_PF1(T)_FA(T)_PF1(PP)_PF3(HP).pdf |
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