Epistaxis is one of the most frequently encountered emergencies reported to occur in up to 60% of the general population. It has a bimodal age presentation with incidence peaks in below 25 years and above 50 years of age and affects males twice more than females. The Kiesselbach’s plexus is responsible for most anterior epistaxis accounting for 85 to 95%, but easy to identify and treat. Posteri...

UNLABELLED Epistaxis is one of the most prevalent emergencies in ENT practice, and its surgical treatment is part of the routine at services for emergency care, especially in cases refractory to clinical procedures. OBJECTIVE To analyze the profile of patients and the results this service has had in the surgical treatment of epistaxis for the last 11 years. METHOD Data from 98 patients subm...

BACKGROUND Chronic obstructive pulmonary disease (COPD) has customarily been associated with increased surgical morbidity and mortality rates after coronary artery bypass graft surgery (CABG). The aim of this study was to determine whether there is a relationship between epistaxis and COPD after CABG surgery. METHODS There were 3 443 patients who consecutively underwent isolated CABG from Jan...

BACKGROUND Many treatment options exist for the management of anterior epistaxis. However, little is known about treatment outcomes. The objective was to identify the currently utilised methods of management and outcomes for patients with anterior epistaxis presenting to the emergency department (ED) at a Canadian tertiary care center. METHODS A retrospective review of ED visits from January ...

Embolization of the maxillary artery (MA) is a common treatment modality for refractory epistaxis. Tissue necrosis after embolization of the MA is a rare complication. Here, we reported the first case of the development of necrosis of soft tissue and alveolar bone in the periodontium after embolization. A 48-year-old man with poor oral hygiene and a heavy smoking habit was referred to our clini...

BACKGROUND Hereditary hemorrhagic telangiectasia (HHT), also known as Osler-Weber-Rendu syndrome, often manifests with epistaxis. The disease spectrum is wide; some patients have small, irritating bleeds, whereas other patients require monthly blood transfusions. There are many medical and surgical interventions for epistaxis in HHT, but none have been established as a gold-standard treatment. ...

BACKGROUND There is wide variation in UK prescribing practice regarding prophylactic antibiotics for nasal packing in spontaneous epistaxis. There are few published cases of infective complications in such patients. METHOD This prospective study examined 149 consecutive patients admitted to a tertiary otorhinolaryngology centre with spontaneous epistaxis, who underwent nasal packing, over a s...

OBJECTIVES The aim of this study was to evaluate the efficacy of endoscopic ligation of the sphenopalatine artery in the treatment of severe posterior epistaxis. METHODS We have carried out a retrospective study on 50 patients hospitalised with posterior recurrent epistaxis, in whom posterior nasal packing was not effective. All of them underwent surgical treatment, with endoscopic ligation o...

Abstract Objectives The global pandemic of coronavirus disease 2019 has necessitated changes to ‘usual’ ways practice in otolaryngology, with a view towards out-patient or ambulatory management appropriate conditions. This paper reviews the available evidence for three most common causes emergency referral otolaryngology team: tonsillitis, peri-tonsillar abscess and epistaxis. Methods A literat...

BACKGROUND Haemorrhagic complications, including epistaxis, are the main reason for discontinuation of antiplatelet therapy in patients after stent implantation which increases risk of in-stent thrombosis. AIM To evaluate the incidence of bleeding complications leading to premature discontinuation of antiplatelet therapy in patients after percutaneous coronary intervention (PCI) with stent im...