Year: 2017 | Month: March | Volume: 7 | Issue: 3 | Pages: 361-365
Diagnosis and Management of Epistaxis: A Summary from Recent Systematic Reviews
Dr. Pundareekaksha Rao.
Assistant Professor, Ayurveda College & Hospital, 242 - B, Trichy Road, Sulur, Coimbatore, Tamilnadu, India - 641402.
Epistaxis is a common condition of nose, self limited or it subsides with simple measure, some do not resolve without intervention and in some cases it can cause of life threatening. It is rare in neonates and common in males. Bleeding is peaks in the morning and late afternoon. It often associated with changes in temperature and humidity in atmosphere. The cause of epistaxis can be divided into local, systemic, environmental, medications or, in the majority of cases idiopathic. Epistaxis can be classified by its anatomical location into anterior and posterior epistaxis. Anterior epistaxis is more common than posterior epistaxis. Flexible or rigid endoscopic examination is helpful to attempt to identify the site. The treatment options will be divided into medical, nonsurgical, and surgical options. Anterior epistaxis is controlled by local pressure or anterior nasal packing, while posterior epistaxis often requires posterior nasal packing or arterial ligation. There are three main types of surgical options: external carotid artery ligation, internal maxillary artery ligation or Sphenopalatine artery ligation. Endonasal ligation of the SPA is the most specific and currently the most widely used technique.
Key words: Epistaxis, endoscopic examination, local pressure, nasal packing