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Related Experiment Videos

[Management of intractable epistaxis and bleeding points localization].

Da-Zhang Yang1, Jing-Ning Cheng, Jun Han

  • 1Department of Otorhinolaryngology, China-Japan Friendship Hospital, Beijing 100029, China. yangdazhang2000@yahoo.com.cn

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Chinese Journal of Otorhinolaryngology Head and Neck Surgery
|October 19, 2005
PubMed
Summary

This study identified common nasal bleeding points in intractable epistaxis cases. Endoscopic visualization and targeted management effectively controlled severe nosebleeds in most patients.

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Area of Science:

  • Otolaryngology
  • Rhinology
  • Surgical Innovation

Context:

  • Intractable epistaxis presents a significant clinical challenge.
  • Standard treatments like nasal packing are often insufficient for severe cases.
  • Accurate localization of bleeding sources is crucial for effective management.

Purpose:

  • To identify common sites of nasal bleeding in patients with intractable epistaxis.
  • To evaluate the efficacy of endoscopic techniques combined with turbinate displacement for managing difficult-to-locate bleeding points.
  • To assess the correlation between bleeding site and patient age.

Summary:

  • Retrospective analysis of 92 patients with intractable epistaxis revealed common bleeding points in the superior wall of the inferior nasal meatus (56.5%) and olfactory cleft of the nasal septum (27.2%).

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  • Bleeding sites showed a correlation with age.
  • Effective hemostasis was achieved using electrocoagulation (83 cases), gelfoam packing (8 cases), and embolization (1 case), with high success rates after initial treatment.

    • Impact:

    • Endoscopic visualization combined with middle and inferior turbinate displacement offers superior visualization for deeply-sited bleeding points.
    • This combined approach provides an effective and safe method for controlling intractable epistaxis.
    • Successful management reduces patient morbidity and healthcare resource utilization.