Abstract | OBJECTIVES: To investigate common origins of intractable epistaxis, and the efficacy of endoscopic management. METHODS: Retrospective study of 265 patients with uncontrolled idiopathic epistaxis presenting between July 2008 and July 2009. Patients underwent endoscopic examination and subsequent radiofrequency electrocautery, selective packing or observation. RESULTS: Nasal endoscopy indicated that the commonest bleeding sources were the superior nasal septum at the olfactory cleft (39.2 per cent), the inferior meatus (27.5 per cent), the sphenoethmoid recess (6.0 per cent), the middle meatus (5.3 per cent) and other locations (3.4 per cent). Bleeding was successfully controlled with nasal endoscopy plus radiofrequency electrocautery or selective packing. In 49 (18.5 per cent) patients, no abnormality was identified; these patients received observation only, and no further bleeding occurred. None of the patients had serious complications or recurrent epistaxis during the three-month follow-up period. CONCLUSION:
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Authors | Y Liu, C Zheng, W Wei, Q Liu |
Journal | The Journal of laryngology and otology
(J Laryngol Otol)
Vol. 126
Issue 5
Pg. 482-6
(May 2012)
ISSN: 1748-5460 [Electronic] England |
PMID | 22377442
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Anesthetics, Local
(administration & dosage)
- Catheter Ablation
- Endoscopy
- Epistaxis
(epidemiology, surgery, therapy)
- Female
- Hemostatic Techniques
- Humans
- Male
- Middle Aged
- Nose
(blood supply, pathology, surgery)
- Retrospective Studies
- Tampons, Surgical
- Treatment Outcome
- Young Adult
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