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Conservative management of epistaxis

Published online by Cambridge University Press:  29 June 2007

A. Monux*
Affiliation:
Department of Otorhinolaryngology, La Paz Hospital, Autonomous University, Madrid, Spain.
M. Tomás
Affiliation:
Department of Otorhinolaryngology, La Paz Hospital, Autonomous University, Madrid, Spain.
C. Kaiser
Affiliation:
Department of Otorhinolaryngology, La Paz Hospital, Autonomous University, Madrid, Spain.
J. Gavilán
Affiliation:
Department of Otorhinolaryngology, La Paz Hospital, Autonomous University, Madrid, Spain.
*
A. Monux, C. Ricardo Ortiz, 92, 11D, 28017 Madrid, Spain.

Abstract

A retrospective study to assess the clinical usefulness of non-surgical management of epistaxis was performed on 340 patients requiring hospitalisation at the ENT Department of La Paz Hospital (Madrid). The previous history, type of management, hospitalisation time, and volume of transfusion were considered. Nasal packing was employed in 94.1 per cent of the patients. Most patients (82.9 per cent) were hospitalised less than seven days, and 84.1 per cent of the patients required no transfusion. There was one death.

This study supports the clinical usefulness of conservative management in the treatment of patients with epistaxis.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1990

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References

De Vries, N., Versluis, J. J., Valk, J., Snow, G. B. (1986) Facial nerve paralysis following embolization for severe epistaxis. Journal of Laryngology and Otology, 100: 207210.CrossRefGoogle ScholarPubMed
Hicks, J. N., Norris, J. W. (1989) Office treatment by cryotherapy for severe posterior nasal epistaxis–Update. Laryngoscope, 93: 876879.CrossRefGoogle Scholar
Merland, J. J., Melki, J. P., Chiras, J., Hadjean, E. (1980) Place of embolization in the treatment of severe epistaxis. Laryngoscope, 90: 16941704.CrossRefGoogle ScholarPubMed
Robertson, G. H., Reardon, E. J. (1979) Angiography and embolization of the internal maxillary artery for posterior epistaxis. Archives of Otolaryngology, 105: 333337.CrossRefGoogle Scholar
Rosnagle, R. S., Yanagisawa, E. Y., Smith, H. W. (1973) Specific vessel ligation for epistaxis. Surgery of 60 cases. Laryngoscope, 83: 517525.CrossRefGoogle ScholarPubMed
Shaheen, O. H. (1987) Epistaxis. In 5th edition Scott-Brown's Otolaryngology (MacKay, I.S., Bull, T.R., and Kerr, A.G., eds) Vol 4 Butterworths: London. p 272282.Google Scholar
Schaitkin, B., Strauss, M., Houck, J. R. (1987) Epistaxis: Medical versus surgical therapy: A comparison of efficiency, complications, and economic considerations. Laryngoscope, 97: 13921396.CrossRefGoogle Scholar
Wang, L., Vogel, D. (1981) Posterior epistaxis: Comparison of treatment. Otolaryngology–Head and Neck Surgery, 89: 10011006.CrossRefGoogle ScholarPubMed