A study on epistaxis.

Nanmullai, R (2010) A study on epistaxis. Masters thesis, Madras Medical College, Chennai.

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Abstract

Epistaxis- bleeding through the nose is one of the most common and most difficult emergencies to treat. About 60% of people experience the episode atleast once in life time with less than 10% of these requiring medical attention. Aims of this study is to find out the most common cause, early identification of the cause and thereby early management, prevalence in various age groups and sex and correlation of anatomical variations with respect to epistaxis. In the present study, 120 cases were studied from the OPD and wards of the UIORL of MMC and GGH Chennai. The commonest cause of epistaxis in both sexes was found to be idiopathic (46.67%). Other causes are trauma(8.33%), DNS with chronic sinusitis with spur (10.84%) and polyps (5%) malignancy (5%) . JNA is exclusively seen in adolescent males (5%). In older age group hypertension has to be considered and should be treated effectively. Males (60%) were commonly affected than females (40%) in the present study. Commonest age group involved was 21 to 30 years (27.5%), 13 to 20 years (23.33%), 51 to 60 years (16.67%) and 41 to 50 years (15%). Idiopathic as the commonest cause, males more commonly affected and age group involvement in the present study more or less correlates with other studies. Most of the cases were anterior nasal bleed (62.5%) and were treated conservatively with anterior nasal packing. Mild to moderate septal deviations was noted in most of the cases . These patients were not having any significant symptoms. The incidence of recurrent epistaxis decreased significantly as most cases were diagnosed and treated immediately. In older age groups radiological investigation was needed to rule out any malignancy. Spontaneous, profuse bleeding in adolescent males requires nasal endoscopy, CT, MRI PNS to rule out JNA. Regular follow up was needed in post operative JNA cases rhinosporidiosis and in malignancy. Moderate to severe epistaxis requires immediate packing and commonest problem in post packing nose is mucosal oedema and mucosal injury which may alter or mask the original pathology. The endoscopy helps to identify bleeding points and to treat them effectively.

Item Type: Thesis (Masters)
Uncontrolled Keywords: epistaxis; nasal bleeding
Subjects: MEDICAL > Otorhinolaryngology
Depositing User: Devi S
Date Deposited: 04 Jul 2017 10:02
Last Modified: 04 Jul 2017 10:02
URI: http://repository-tnmgrmu.ac.in/id/eprint/905

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