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Epistaxis

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...

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Updated: Oct 15, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Inferior turbinate reduction: comparing post-operative bleeding between different surgical techniques.

E Levy¹, O Ronen¹, E Sela¹

¹Department of Otolaryngology - Head and Neck Surgery, Galilee Medical Center, Nahariya, and Azrieli Faculty of Medicine, Bar-Ilan University, Ramat Gan, Israel.

The Journal of Laryngology and Otology

|October 27, 2021

Summary

This summary is machine-generated.

Endoscopic turbinoplasty shows the lowest post-operative bleeding rates after turbinate surgery. This surgical technique also requires fewer interventions to control bleeding compared to other methods.

Keywords:

Epistaxis Nasal Surgical Procedures Postoperative Hemorrhage Turbinates

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Area of Science:

Otolaryngology
Surgical Complications

Background:

Post-operative bleeding is a significant complication following turbinate surgery.
Inferior turbinate surgery aims to improve nasal airflow but carries risks.

Purpose of the Study:

To compare post-operative bleeding rates among three turbinate surgery techniques: partial turbinectomy, submucosal turbinate reduction, and endoscopic turbinoplasty.
To evaluate the need for interventions to control bleeding for each surgical method.

Main Methods:

A retrospective study included 751 patients who underwent inferior turbinate surgery between January 2016 and November 2017.
Patients were categorized by surgical technique: partial turbinectomy, submucosal turbinate reduction, or endoscopic turbinoplasty.
Post-operative bleeding and need for intervention were assessed after at least one month of follow-up.

Main Results:

Overall, 7.5% of patients experienced post-operative bleeding.
Partial turbinectomy had an 8.4% bleeding rate, submucosal turbinate reduction had 10.7%, and endoscopic turbinoplasty had 3.0%.
Endoscopic turbinoplasty demonstrated a significantly lower odds ratio for requiring bleeding intervention compared to submucosal turbinate reduction.

Conclusions:

Endoscopic turbinoplasty is associated with the lowest incidence of post-operative bleeding after inferior turbinate surgery.
This technique also shows the lowest requirement for interventions to manage bleeding complications.