A Clinical Study of Etiopathogenesis And Management of Epistaxis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Introduction: Epistaxis is one of the commonest medical emergencies. It affects all age groups and both sexes. The areas for epistaxis are the Little’s area and the Woodruff’s plexus. The causes are divided into local or general causes. Trauma is considered to be a major etiological factor. Various treatment protocols are utilized to control epistaxis depending upon the type severity and cause of bleeding. The present work was undertaken to study the etiopathogenesis and management of epistaxis by non-surgical and surgical approaches. Material and Method: Fifty patients of both sexes and all age groups presenting to the Emergency Department or the ENT Outpatient Department at Rajendra Institute of Medical Sciences, Ranchi were taken up for the study. Priority was given to arrest the bleeding and to improve the general condition of the patient. Once the bleeding was controlled, detailed clinical examination and investigations were done to arrive at the diagnosis. Then the patient was given definite treatment depending upon the cause. Results: Males were affected twice more than females (1.9:1). The age distribution was bimodal with peaks below 20 years and above 40 years. The most common cause was found to be trauma followed by hypertension. Anterior nasal bleeding was noted in majority of the patients. 86% of the patients were managed by nonsurgical measures; only few (14%) requiring surgical intervention. Anterior nasal packing was the most effective method of controlling anterior epistaxis; while posterior bleeding was controlled by posterior nasal packing or with Foley’s catheter. Conclusion: Epistaxis has a bimodal age distribution and affects males more than females. Anterior bleeding is more common than posterior bleeding. Trauma is an important etiological factor followed by hypertension. Majority of cases are manageable by conservative measures and only few require surgical intervention.
Authors and Affiliations
Dr. Binod Kumar Sinha, Dr. (Mrs. ) Chandrakanti Birua, Dr. Dheeraj Kumar
Keywords
Related Articles
- EP ID EP590434
- DOI 10.9790/0853-1601094952.
- Views 35
- Downloads 0
Prevalence and Risk Factors of HCV Infection among Haemodialysis Patients at Dialysis Centers in Khartoum State - Sudan
Hepatitis C virus infection continues to be a major public health problem warranting high priority efforts for control and treatment. Hepatitis C virus infection is a major health problem among dialysis patients in devel...
Management of Idiopathic Congenital TalipesEquinovarus byPonseti’s method – In Indian Prospects.
Objective:Idiopathic CTEV is one of the common congenital complex deformity of the foot.Incidence of which is about 1/1000 live birth. Club foot is treated by series of corrective manipulation and cast application. Here...
Outcome Analysis of Neglected Musculoskeletal Injuries of Hip
Background: In our study the focus is on periarticular unreduced fractures involving the hip joint which are serious injuries resulting from both high velocity and low velocity trauma. Old unreduced dislocations of hip a...
Diagnostic Utlilty of FNAC in breast lesions and its correlation with histopathology
Background- A palpable breast lump is a common diagnostic problem to both general practitioners and surgeons. FNAC is a valuable tool and it's advantage is to provide rapid accurate diagnosis, cost-effective, excellent p...
Study of Triple Vessel Wave Pattern by Doppler Studies in Low Risk and High Risk Pregnancies and Perinatal Outcome
Objectives:Role of Triple vessel umbilical, middle cerebral and uterine artery wave pattern by colour Doppler study in low and high risk pregnancies in relation to perinatal outcome. Methods:Fifty (50 )patients with gest...