A CASE SERIES ON EPISTAXIS IN PATIENTS ATTENDING ENT OPD, GGH, KAKINADA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 22
Abstract
BACKGROUND Epistaxis is extremely a common condition[1] and affects all age groups. 5 to 10% of the population experiences an episode of epistaxis each year. The frequency of epistaxis is difficult to determine, because most episodes resolve with self-treatment and therefore are not reported.[2] More than 90% of bleeds occur anteriorly and arise from Little’s area, where the Kiesselbach’s plexus forms on the septum.[3][4] Most nose bleeds stop without treatment. For most of the general population epistaxis is a nuisance. However, the problem can be life-threatening, especially in elderly patients and in those with underlying medical problems. We evaluated 50 patients presenting with complaints of bleeding from nose and studied in detail. MATERIALS AND METHODS This is a case series carried out in the Dept. of ENT, Govt. General Hospital, Rangaraya Medical College, Kakinada between December 2015 and September 2017. The study was approved by the ethics committee of the institution. RESULTS 20 - 40 years’ age groups are the most commonly affected. Among the aetiologies, idiopathic is the most common cause (22%). Most common site of bleeding is anterior part; therefore, anterior nasal packing was done for majority of the cases. CONCLUSION From the present study we come to the conclusion that epistaxis is a problem seen in all age groups, more so in the adolescents and young adults, and that males are affected more than females. The cause of epistaxis was not known, i.e. idiopathic in the majority of cases. When the cause of epistaxis is present, it is found that trauma is the most common cause in the younger patients, while in older patients the most common cause is epistaxis secondary to hypertension. The anterior nasal septum and more so the Little’s area is the commonest site of bleeding.
Authors and Affiliations
Ravula Bhimeswar, Vuppu Chandra Venkata Siva Kumar, Padavala Koteswar Rao, Dasari Siva Sankaraih, Ijju Hemanth
Keywords
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- EP ID EP431938
- DOI 10.14260/jemds/2018/598
- Views 76
- Downloads 0
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