EPISTAXIS- AN ANALYTICAL STUDY IN TERTIARY REFERRAL HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 8
Abstract
BACKGROUND Epistaxis is the commonest emergency we come across in ENT outpatient department affecting upto 60% of the general population in their lifetimes, with 6% of the cases requiring medical attention. Epistaxis is defined as bleeding from nose even though the actual meaning of the term means bleeding from above. Epistaxis is a sign not a disease. It can occur in any patient irrespective of sex and age. Aims and objectives1. To assess the commonest cause and other diseases which produces epistaxis. 2. To assess the different methods used to control epistaxis. MATERIALS AND METHODS The study was conducted in a Tertiary Referral Government ENT Hospital, Visakhapatnam in Andhra Pradesh state for a period of 1 year that is from July 2016 to June 2017, in 383 patients attended with complaint of epistaxis either with a single episode 275 or multiple episodes 108. These patients were distributed on sex and age variation. They were categorised into groups depending upon the clinical, pathological diagnosis and on the basis of modalities of treatment. RESULTS In this study, males were 59.5% (228) and females 40.5%. (155). With M: F ratio of 1.47: 1. Age group of 0-10 years with 51.7% (198) was the most common age affected with epistaxis. The second most common age group was the 31-40 years age. Epistaxis due to trauma to the Little’s area 142 (37.07%) evolved as a commonest aetiology. Later were rhinosinusitis 108 (28.19%), hypertension 48 (12.53%), trauma 35 (9.13%), DNS with spur 14 (3.65%). Bleeding from the septum particularly Little’s area in children, and from the lateral wall over the posterior aspect in adults was the commonest area of bleed. Conservative medical management 123 (32.1%) was mostly used to control the epistaxis. Next line of management were local cauterization and anterior nasal packing. CONCLUSION Epistaxis was common in males than females. Bleeding from Little’s area of the septum was the commonest cause of epistaxis in children and also, in the total population. The next causes were rhinosinusitis and hypertension in which epistaxis arises from the lateral wall of the nose in adults. Conservative medical management was the commonest mode of treatment in most of the cases.
Authors and Affiliations
T. V. S. S. N. Leela Prasad, Rambabu P, Suryaprakasa Rao S, Ravi Kumar K
Keywords
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- EP ID EP410091
- DOI 10.14260/jemds/2018/226
- Views 96
- Downloads 0
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