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Epistaxis in Port Harcourt.

B C C Okoye¹, L O Onotai

¹Department of Otorhinolaryngology, Unigersity of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.

Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria

|November 23, 2006

Summary

Nosebleeds (epistaxis) are common, with idiopathic causes being most frequent. Anterior and posterior nasal packing are effective and cost-efficient treatments for epistaxis management.

Area of Science:

Otorhinolaryngology
Medical Research
Public Health

Background:

Epistaxis frequently causes patient and clinician anxiety.
Effective treatment strategies for epistaxis are crucial.
Understanding local patterns of epistaxis aids management.

Purpose of the Study:

To document the pattern of epistaxis in Port Harcourt.
To determine the etiologies of epistaxis in the region.
To advocate for optimal treatment options for epistaxis.

Main Methods:

A 6-year retrospective study (2000-2005).
Analysis of patient records from the University of Port Harcourt Teaching Hospital.
Diagnosis confirmed by clinical history, physical findings, investigations, and examination under anesthesia.

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Main Results:

30 patients (16 males, 14 females) with a mean age of 30.48 years.
Idiopathic causes (66.67%) were most common, followed by trauma (13.33%) and nasopharyngeal carcinoma (10%).
Anterior nasal packing (50%) was the most frequent treatment, followed by posterior nasal packing (26.67%).

Conclusions:

The pattern of epistaxis in Port Harcourt aligns with global observations.
Anterior and posterior nasal packing are cost-effective epistaxis treatments.
Standardized management protocols can improve patient outcomes.