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<p>Epistaxis is one of the most common and difficult to treat otolaryngological emergencies affecting 60% of population worldwide ( in Rhinology and skull base surgery: from the lab to the operating room: an evidence-based approach, Georg Thieme Verlag, Stuttgart, 2013). It is more common in children and sixth decade of life, with slight male predominance (Sharma et al. in Arch Med Health Sci 3:234, 2015). Epistaxis can be classified as primary or secondary, childhood or adulthood and anterior or posterior (Faris in Ann R Coll Surg Engl 93:559, 2011). Most cases will be from anterior source that can be managed by pressure application (pinching of nose), anterior nasal packing, or cautery. Hence it became imperative to conduct a study on the clinicopathological profile of patients with epistaxis and its management in a tertiary care centre in Meghalaya. Prospective, hospital based longitudinal study of all patients presenting with nose bleed in department of ENT, over a period of one year from May2021 to April 2022. Total 90 patients were included in the study, 76.6% male and rest female. Highest percentage of diseased population was from 17 to 30&#xa0;years age group (38.9%). The most common cause being Trauma (32.2%) followed by DNS (14.4%). Amongst the primary treatment given to patients, 54.4% has undergone conservative management followed by 36.6% anterior nasal packing and 8.9% anterior + posterior nasal packing. 50% of cases of epistaxis were managed completely by primary treatment and 50% cases had to undergo either cauterization or embolization or other related surgical management. Epistaxis is a common and sometimes life-threatening condition. It precipitates life threatening condition and even fatality. However, the first line of treatment is Hemostasis, and should be done promptly and in skillful manner.</p>

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A Clinico-Pathological Study of Epistaxis and Its Management

  • 期刊论文

  • 发表日期：

    2026年5月13日

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  • Suvamoy Chakraborty,
  • Anuradha Deka,
  • Brian Neizekhotuo Shunyu,
  • Vandana Raphael,
  • Sauradeep Das

摘要

Epistaxis is one of the most common and difficult to treat otolaryngological emergencies affecting 60% of population worldwide ( in Rhinology and skull base surgery: from the lab to the operating room: an evidence-based approach, Georg Thieme Verlag, Stuttgart, 2013). It is more common in children and sixth decade of life, with slight male predominance (Sharma et al. in Arch Med Health Sci 3:234, 2015). Epistaxis can be classified as primary or secondary, childhood or adulthood and anterior or posterior (Faris in Ann R Coll Surg Engl 93:559, 2011). Most cases will be from anterior source that can be managed by pressure application (pinching of nose), anterior nasal packing, or cautery. Hence it became imperative to conduct a study on the clinicopathological profile of patients with epistaxis and its management in a tertiary care centre in Meghalaya. Prospective, hospital based longitudinal study of all patients presenting with nose bleed in department of ENT, over a period of one year from May2021 to April 2022. Total 90 patients were included in the study, 76.6% male and rest female. Highest percentage of diseased population was from 17 to 30 years age group (38.9%). The most common cause being Trauma (32.2%) followed by DNS (14.4%). Amongst the primary treatment given to patients, 54.4% has undergone conservative management followed by 36.6% anterior nasal packing and 8.9% anterior + posterior nasal packing. 50% of cases of epistaxis were managed completely by primary treatment and 50% cases had to undergo either cauterization or embolization or other related surgical management. Epistaxis is a common and sometimes life-threatening condition. It precipitates life threatening condition and even fatality. However, the first line of treatment is Hemostasis, and should be done promptly and in skillful manner.