Related Experiment Videos
Posterior epistaxis: identification of common bleeding sites
M A Thornton1, B N Mahesh, J Lang
1Department of Otolaryngology, University Hospital Galway, Galway, Ireland.
The Laryngoscope
|April 5, 2005
Summary
Posterior epistaxis bleeding commonly originates from the lateral nasal wall, particularly the turbinates. Examination under general anesthesia is recommended when conservative methods fail, with electrocautery proving effective.
Area of Science:
- Otolaryngology
- Nasal Surgery
- Epistaxis Management
Background:
- Posterior epistaxis is challenging to manage.
- Identifying bleeding sites is crucial for effective treatment.
- Standard nasal packing may not always be sufficient.
Purpose of the Study:
- To identify common bleeding sites in posterior epistaxis.
- To review and refine management protocols for posterior epistaxis.
Main Methods:
- Prospective study from 1989-2003.
- Included patients with posterior epistaxis uncontrolled by standard packing.
- Examination under general anesthesia was performed for all patients.
Main Results:
- 36 of 43 patients had identified bleeding points.
- 81% of bleeding points were on the lateral nasal wall.
- Common sites included the lateral surface of the middle and inferior turbinates.
Conclusions:
- Recommend examination under general anesthesia for refractory posterior epistaxis.
- Focus on the posterior lateral nasal wall, especially turbinates.
- Electrothermocautery is effective with minimal complications.