Literature DB >> 25705275

Treatment Options for Severe Epistaxis, the Experience of Coltea ENT Clinic.

Alina Georgiana Anghel1, Cristian Costin Soreanu1, Mihai Dumitru1, Ion Anghel1.   

Abstract

OBJECTIVES: The study presents the experience of the Coltea ENT Clinic with the most common emergency in ENT pathology.
RESULTS: The study group comprises 51.24% women and 48.76% men with 73.14% of patients (177) coming from urban areas and the remaining 26.86% (65) from rural areas. The total number of days of hospitalization is 1411, representing an average of 5.83 days / patient. Epistaxis was anterior in 80.17% of cases (194 patients) and antero-posterior in 19.83% (48 patients). 132 patients, representing 54.55% presented elevated blood pressure whereas liver and hematological disorders are uncommon etiologies. Therapeutic interventions are mostly non-surgical 207 (85.54%), the remaining 35 cases (14.46%), requiring surgery.
CONCLUSIONS: Epistaxis associated with high blood pressure is found in 54.55% of the study group. In 38.02% of cases the etiology cannot be determined. Pluri-factorial etiology is common. The most difficult to control were the cases with epistaxis of hepatic etiology, in which cases the surgical solution was required.

Entities:  

Keywords:  gonarthrosis; high tibial osteotomy; tibial slope

Year:  2014        PMID: 25705275      PMCID: PMC4296762     

Source DB:  PubMed          Journal:  Maedica (Buchar)        ISSN: 1841-9038


  9 in total

Review 1.  An update on otolaryngology in critical care.

Authors:  Hassan H Ramadan; Ali A El Solh
Journal:  Am J Respir Crit Care Med       Date:  2004-04-15       Impact factor: 21.405

Review 2.  Management of epistaxis.

Authors:  Corry J Kucik; Timothy Clenney
Journal:  Am Fam Physician       Date:  2005-01-15       Impact factor: 3.292

Review 3.  Endovascular treatment of epistaxis.

Authors:  P W A Willems; R I Farb; R Agid
Journal:  AJNR Am J Neuroradiol       Date:  2009-04-16       Impact factor: 3.825

4.  Relationship between epistaxis and hypertension: a study of patients seen in the emergency units of two tertiary health institutions in Nigeria.

Authors:  S A Isezuo; S Segun-Busari; E Ezunu; A Yakubu; K Iseh; J Legbo; B S Alabi; A E Dunmade; F E Ologe
Journal:  Niger J Clin Pract       Date:  2008-12       Impact factor: 0.968

5.  Epistaxis: A retrospective clinical study.

Authors:  Saurabh Varshney; R K Saxena
Journal:  Indian J Otolaryngol Head Neck Surg       Date:  2005-04

6.  Serious spontaneous epistaxis and hypertension in hospitalized patients.

Authors:  Cyril Page; Aurélie Biet; Sophie Liabeuf; Vladimir Strunski; Albert Fournier
Journal:  Eur Arch Otorhinolaryngol       Date:  2011-06-09       Impact factor: 2.503

Review 7.  Update on epistaxis.

Authors:  Richard Douglas; Peter-John Wormald
Journal:  Curr Opin Otolaryngol Head Neck Surg       Date:  2007-06       Impact factor: 2.064

8.  Absence of association between hypertension and epistaxis: a population-based study.

Authors:  Flávio D Fuchs; Leila B Moreira; Cristiane P Pires; Felipe S Torres; Mariana V Furtado; Renan S Moraes; Mário Wiehe; Sandra C Fuchs; José F Lubianca Neto
Journal:  Blood Press       Date:  2003       Impact factor: 2.835

9.  Clinical outcome of patients with epistaxis treated with nasal packing after hospital discharge.

Authors:  Marina Faistauer; Angela Faistauer; Rafaeli S Grossi; Renato Roithmann
Journal:  Braz J Otorhinolaryngol       Date:  2009 Nov-Dec
  9 in total
  1 in total

1.  Management of epistaxis in patients with ventricular assist device: a retrospective review.

Authors:  Clifford Scott Brown; Ralph Abi-Hachem; David Woojin Jang
Journal:  J Otolaryngol Head Neck Surg       Date:  2018-08-02
  1 in total

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