Distribution and treatment onintractable epistaxis in concealed sites
10.16066/j.1672-7002.2016.10.012
- VernacularTitle:难治性鼻出血隐匿出血部位的分布和治疗
- Author:
Qintai YANG
;
Huiyi DENG
;
Weihao WANG
;
Xuekun HUANG
;
Lei LV
;
Xian LIU
;
Gehua ZHANG
- Publication Type:Journal Article
- Keywords:
Epistaxis;
Endoscopy;
Nasal Cavity;
radiofrequency ablation
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2016;23(10):602-605
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To drew the map of distribution of concealed sites in epistaxis and optimize the mode of diagnosis and treatment. METHODS We have searched 117 references on intractable/refractory/latent epistaxis treated under nasal endoscopy in the last decade, including 11 708 cases with epistaxis. There were total 11 860 cases in this study plus 152 cases in our hospital. We summed up the experiences of the optimized treatment mode performed on concealed epistaxis, which was searching the accurate bleeding areas by nasal endoscopy and performing minimally invasive radiofrequency treatment without nasal packing. RESULTS We had found that the offending arteries about epistaxis are mainly sphenopalatine artery and anterior or posterior ethmoid artery. The frequency of bleeding areas came as follows: the vault of inferior nasal meatus in 3783 cases(31.90%), the olfactory sulcus of middle turbinate in 3522 cases(29.70%), the posterior regions of middle meatus in 1349 cases(11.37%), the regions of deviation of nasal septum in 1065 cases(8.98%), the foremost regions of nasal cavity in 738 cases(6.22%), and the others or uncertain in 1403 cases(11.83%). Finally, we drew a concise map of distribution about epistaxis on the basis of the concealed bleeding areas and offending vessels. 151 of 152 patients(99.34%) could find out the bleeding sites accurately and stop the bleeding through minimally invasive radiofrequency ablation. CONCLUSION We drew a map of distribution about epistaxis in concealed areas so that it is convenient for us to seek out the bleeding sites. Rational use of nasal endoscopy to explore the sites of intractable epistaxis and minimally invasive radiofrequency are optimized mode of treatment.
