Endoscopic Management of Epistaxis in Lumbini Medical College
Introduction: Epistaxis is one of the commonest Ear Nose Throat (ENT) emergency. Proper guidelines for its management are lacking; on the other hand, the management is mostly done by the junior health service providers which has invited non-standardized practice of epistaxis management. Thereby thi...
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doaj-6aff0bf85cf648d29ccafb8c27b06bd22020-11-24T20:53:10ZengLumbini Medical CollegeJournal of Lumbini Medical College2392-46322542-26182015-12-013210.22502/jlmc.v3i2.7070Endoscopic Management of Epistaxis in Lumbini Medical CollegeAnup Acharya0Madan Mohan Singh1Arati Shrestha2Lumbini Medical CollegeLumbini Medical CollegeLumbini Medical College Introduction: Epistaxis is one of the commonest Ear Nose Throat (ENT) emergency. Proper guidelines for its management are lacking; on the other hand, the management is mostly done by the junior health service providers which has invited non-standardized practice of epistaxis management. Thereby this study was much inclined towards assessment of the effectiveness of endoscopic management of epistaxis. Methods: This prospective study included patients above 16 years who were diagnosed with idiopathic epistaxis visiting Out Patient of ENT Department or in the Emergency Department of Lumbini Medical College from 1st of July 2014 to 30th of June 2015. ENT examination was done to find the cause and site of bleeding. Thereafter different epistaxis management interventions were done depending on the bleeding condition. The data were collected, entered and then analyzed using SPSS version 21. The descriptive statistics were applied. Results: Of the total 116 patients, 53 (45.69%) were male and 63 (54.31%) were female showing no gender preponderance with epistaxis in our study. Majority (49%) of the patients were managed with cauterization with silver nitrate or electrocautery in out-patient clinic. Second most common (18%) procedure was endoscopic sphenopalatine artery cauterization. Nasal packing was done only in three cases with zero posterior pack. Conclusion: Endoscopic intervention of epistaxis seems to be safe, simple, fast, and effective for the management of epistaxis with low rates of morbidity and complications. Thereby it can be preferred over the conservative nasal packing and considered as immediate second-line management. https://jlmc.edu.np/index.php/JLMC/article/view/70electrocoagulationepistaxisligationpackingsphenopalatine |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Anup Acharya Madan Mohan Singh Arati Shrestha |
spellingShingle |
Anup Acharya Madan Mohan Singh Arati Shrestha Endoscopic Management of Epistaxis in Lumbini Medical College Journal of Lumbini Medical College electrocoagulation epistaxis ligation packing sphenopalatine |
author_facet |
Anup Acharya Madan Mohan Singh Arati Shrestha |
author_sort |
Anup Acharya |
title |
Endoscopic Management of Epistaxis in Lumbini Medical College |
title_short |
Endoscopic Management of Epistaxis in Lumbini Medical College |
title_full |
Endoscopic Management of Epistaxis in Lumbini Medical College |
title_fullStr |
Endoscopic Management of Epistaxis in Lumbini Medical College |
title_full_unstemmed |
Endoscopic Management of Epistaxis in Lumbini Medical College |
title_sort |
endoscopic management of epistaxis in lumbini medical college |
publisher |
Lumbini Medical College |
series |
Journal of Lumbini Medical College |
issn |
2392-4632 2542-2618 |
publishDate |
2015-12-01 |
description |
Introduction: Epistaxis is one of the commonest Ear Nose Throat (ENT) emergency. Proper guidelines for its management are lacking; on the other hand, the management is mostly done by the junior health service providers which has invited non-standardized practice of epistaxis management. Thereby this study was much inclined towards assessment of the effectiveness of endoscopic management of epistaxis.
Methods: This prospective study included patients above 16 years who were diagnosed with idiopathic epistaxis visiting Out Patient of ENT Department or in the Emergency Department of Lumbini Medical College from 1st of July 2014 to 30th of June 2015. ENT examination was done to find the cause and site of bleeding. Thereafter different epistaxis management interventions were done depending on the bleeding condition. The data were collected, entered and then analyzed using SPSS version 21. The descriptive statistics were applied.
Results: Of the total 116 patients, 53 (45.69%) were male and 63 (54.31%) were female showing no gender preponderance with epistaxis in our study. Majority (49%) of the patients were managed with cauterization with silver nitrate or electrocautery in out-patient clinic. Second most common (18%) procedure was endoscopic sphenopalatine artery cauterization. Nasal packing was done only in three cases with zero posterior pack.
Conclusion: Endoscopic intervention of epistaxis seems to be safe, simple, fast, and effective for the management of epistaxis with low rates of morbidity and complications. Thereby it can be preferred over the conservative nasal packing and considered as immediate second-line management.
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topic |
electrocoagulation epistaxis ligation packing sphenopalatine |
url |
https://jlmc.edu.np/index.php/JLMC/article/view/70 |
work_keys_str_mv |
AT anupacharya endoscopicmanagementofepistaxisinlumbinimedicalcollege AT madanmohansingh endoscopicmanagementofepistaxisinlumbinimedicalcollege AT aratishrestha endoscopicmanagementofepistaxisinlumbinimedicalcollege |
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