40 severe recurent epistaxis patients were monitored by digital subtraction angiography at Cho Ray hospital, from October 2001 to October 2003. The results: traumatic carotico-cavernous fistulas 3 cases; related carotid arteries 3 cases: carotid artery ligation; Internal maxillary aneurysms 13 cases: embolization; Related ethmoid artery 2 cases: ethmoid artery ligation. The bleeding sites have not been found clearly on DSA 19 cases: 5 cases in of them have no longer bleeding after DSA and pulled pack out. The DSA is a very important therapeutic application and sometime it was used as definitive treatment
Epistaxis ; diagnosis ; Therapeutics ; Angiography

No abstract available.
Epistaxis* ; Fluconazole* ; Thrombocytopenia

No abstract available.
Aneurysm* ; Carotid Artery, Internal* ; Epistaxis*

OBJECTIVE: To present the demographic profile, etiology and treatment outcome of patients presenting with epistaxis in our local setting.

METHODS:

         Design:             Retrospective Study

         Setting:           Tertiary Private University Hospital

         Participants: Records of 188 patients who presented with epistaxis at the emergency room as well as in-patient admissions and referrals due to epistaxis from January 2017 to December 2017 were reviewed.

RESULTS:  There were a total of 188 patients who presented with epistaxis, with a male to female ratio of 2:1. Peak incidence was noted in young children aged 0-10 years old and again rising in adults above 60 years of age. The most common cause of epistaxis was noted to be trauma (56, 29.79%), followed by hypertension (41, 21.81%) and mucositis at (38, 20.21%). Conservative management were done in majority of the cases (187, 99.47%) with an overall success rate of 95.19% (178 out of 188).

CONCLUSION: One of the most common emergencies that people may encounter in their lifetime is epistaxis. Understanding the demographic profile, etiology, intervention and treatment outcome of patients with epistaxis is essential for the establishment of cost-effective treatment guidelines, protocols and preventive strategies. Health education remains to be a key in reducing morbidity and mortality resulting from epistaxis.

BACKGROUND: The insertion of a nasogastric tube can be difficult in an anesthetized patient who has a cuffed endotracheal tube in place. The placement of a silastic nasogastric (NG) tube can lead to nasal bleeding or a submucosal dissection in the posterior pharynx. The aim of this study was to determine if the insertion of a nasogastric tube with a nasophryngeal airway can be made easy. METHODS: Sixty patients were randomly assigned to one of two groups; Group 1 and Group 2. For Group 1, a nasogastric tube was inserted first. If this method was not successful with two consecutive attempts, then a nasogastric tube with a nasopharyngeal airway was inserted and if unsuccessful again with two attempts, then Magill forceps were used under laryngoscopy. For Group 2, a nasogastric tube with a nasopharyngeal airway was inserted first. If this method was not successful with two consecutive attempts, then a nasogastric tube was inserted and if unsuccessful again with two attempts, then Magill forceps were used under laryngoscopy. RESULTS: The success rate of the 1st pass in Group 2 was significantly higher than in Group 1 (P < 0.05). The success rate with the 1st intended method in Group 2 was significantly higher than in Group 1 (P < 0.05). The rate of using Magill forceps was not significantly different between the two groups. CONCLUSIONS: The insertion of a nasogastric tube with a nasopharyngeal airway in anesthetized and intubated patients is effective in increasing success rate of insertion. Nasopharyngeal airway traverses the nasopharynx atraumatically and serves as a conduit for the smaller nasogastric tube.
Epistaxis ; Humans ; Laryngoscopy ; Nasopharynx ; Pharynx ; Surgical Instruments

BACKGROUND: Among all facial fractures, nasal bone fractures are the most common, and they have been reduced by closed reduction (CR) for a long time. But several authors have reported suboptimal results when using CR, and the best method of nasal bone reduction is still being debated. We have found that indirect open reduction (IOR) through an endonasal incisional approach is a useful method for more accurate reduction of the nasal bone. METHODS: A retrospective chart review was performed of 356 patients who underwent reduction of a nasal bone fracture in our department from January, 2006, to July, 2011. We treated 263 patients with IOR. We assessed patients' and doctors' satisfaction with surgical outcomes after IOR or CR. We evaluated the frequency of nasal bleeding owing to mucosal injury, and followed the surgical outcomes of patients who had simultaneous dorsal augmentation rhinoplasty. RESULTS: According to the analysis of the satisfaction scores, both patients and doctors were significantly more satisfied in the IOR group than the CR group (P<0.05). Mucosal injury with nasal bleeding occurred much less in the IOR group (5.3%) than the CR group (12.9%). Dorsal augmentation rhinoplasty with IOR was performed simultaneously in 34 cases. Most of them (31/34) showed satisfaction with the outcomes. CONCLUSIONS: IOR enables surgeons to manipulate the bony fragment directly through the endonasal incisional approach. However, we propose that CR is the proper technique for patients under 16 and for those with comminuted nasal bone fractures because submucosal dissection in IOR can damage the growth or circulation of nasal bone.
Epistaxis ; Humans ; Nasal Bone ; Retrospective Studies ; Rhinoplasty

Pyogenic granuloma is a benign, vascular lesion of unknown etiology that occurs uncommonly in the nose. Trauma and hormonal factors are considered major causes of pyogenic granuloma. Nasal packing is a very common procedure in rhinology and this procedure might be related to the development of pyogenic granulomas. The most frequent symptoms of pyogenic granulomas are epistaxis and nasal obstruction. This report represents the second case of pyogenic granuloma occurring at the middle turbinate in the English literature and it may have arisen secondary to postoperative nasal packing or intraoperative trauma.
Epistaxis ; Granuloma, Pyogenic ; Nasal Obstruction ; Nose ; Turbinates

Chitosan ; Epistaxis ; therapy ; Humans ; Surgical Sponges

Epistaxis ; therapy ; Humans ; Nasal Cavity ; physiopathology

No abstract available.
Aneurysm, False* ; Carotid Artery, Internal* ; Epistaxis*