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Recurrent epistaxis and nasal septal deviation in young adults
B J O'Reilly1, D C Simpson, R Dharmeratnam
1Department of Otorhinolaryngology, Princess Mary's Royal Air Force Hospital, Aylesbury, UK.
Clinical Otolaryngology and Allied Sciences
|February 1, 1996
Summary
Recurrent epistaxis (nosebleeds) in young adults may be linked to septal deviations. This study found a significant association between deviated septums and frequent nosebleeds, suggesting a potential cause.
Area of Science:
- Otolaryngology
- Medical Research
Background:
- Epistaxis is a common condition, particularly in young adults.
- The underlying causes of recurrent epistaxis are often not well understood.
Purpose of the Study:
- To investigate the potential association between nasal septal deviations and recurrent epistaxis.
- To determine if anatomical abnormalities of the nasal septum contribute to nosebleeds.
Main Methods:
- A comparative study involving 54 servicemen with recurrent epistaxis and 46 healthy controls.
- Clinical examination and radiological assessments were used to identify septal deviations and other nasal abnormalities.
- Statistical analysis was performed to compare the prevalence of these conditions between the epistaxis and control groups.
Main Results:
- The epistaxis group reported a higher incidence of prior nasal trauma and radiologically confirmed nasal fractures.
- Clinical examination revealed significantly higher rates of deviated septum, maxillary spur, and nasal obstruction in patients with epistaxis.
- Radiological evidence also confirmed a higher prevalence of deviated septums in the epistaxis group.
- Patients experiencing unilateral epistaxis were more likely to report bleeding from the side of their deviated septum.
Conclusions:
- The findings support the hypothesis that nasal septal deviation is a significant contributing factor to recurrent epistaxis.
- Septal deviations may predispose individuals to nosebleeds due to altered airflow and mucosal changes.
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