Retrospective Clinical Study on Epistaxis

Clinical Study on Epistaxis

Keywords: Epistaxis, Anterior nasal packing, Bipolar Cauterization


Background: Epistaxis is bleeding through nose. It is most common emergency situation in ENT that is disastrous to the patient and troublesome to treat for doctors. It is seen that 60% population experiences epistaxis in their life time and only 6% went to take consultation. The study  aims to evaluate incidence, etiology, provoking factors and cost effective management. Subjects and Methods: A 3 years retrospective study between September 2015 to August 2018 carried out in Anugarah Narayan Magadh Medical College & Hospital, Gaya on 98 admitted epistaxis patients. Results: Total 11,667 patients came in ENT department among them 2,723 patients with nasal complain. Incidence was0.84% among all cases and 3.6% among nasal problems. No obvious cause seen in 34 cases (34.23%) then cardiovascular cause in 32 cases (32.65%) then infection in19.32% and lastly by trauma in 5.68%. Maximum patients in 40-50 years age group 36% and minimum in 70-80 years 1%. Most patients belong to urban76 cases (77.27%) and middle age 36 cases (36.36%). Males are more prone 57 cases (57.95%) with ratio 1.39:1. Mostly in January-March months 45 cases (46.59%). Most patients came with unilateral epistaxis 86 cases (87.5%). About 26cases (26.14%)came with single episode whom urgent treatment required. Well managed with Nonsurgical method to 85 patients (86.73%) by anterior nasal packing (ANP) in 43 cases (43.87%) and chemical cauterization to 19 cases(19.30%) while surgical treatment given to 13 patients (13.26%).Some required electrocauterization 16 cases (16.32%) with bipolar. Mean hospital stay length 3.2 days. Blood transfusion required in 7cases (7.14%). Conclusion: Cost effectively anterior nasal packing is best conservative indirect method and electrocauterization is very effective direct method.


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Beck R, Sorge M, Schneider A, Dietz A. Current Approaches to Epistaxis Treatment in Primary and Secondary Care. Dtsch Arztebl Int. 2018;115(1-2):12–22.

İsmi O, Vayisoğlu Y, Özcan C, Görür K, Ünal M. Endoscopic Sphenopalatine Artery Ligation in Posterior Epistaxis: Retro- spective Analysis of 30 Patients. Turk Arch Otorhinolaryngol. 2016;54(2):47–52.

Manickam A, Ghosh D, Saha J, Basu SK. An Aetiopathological Study on Epistaxis in Adults and its Management. Bengal J Otolaryngol Head Neck Surg. 2015;23(1):12–17.

Safaya A, Venkatchalam VP, Choudhary N. Nasal Endoscopy evaluation in epistaxis. Ind J Otolaryngol Head Neck Surg. 2000;52:133–139.

Monjas-Cánovas I, Hernández-García I, Mauri-Barberá J, Sanz-Romero B, Gras-Albert JR. Epidemiology of epistaxis admitted to a tertiary hospital. Acta Otorrinolaringologica. 2010;61(1):41–47. Available from:

Chattopadhyay PK. Evaluation of Symptoms in Cases of Otitis Media - A Clinical Study. Asian J Med Res. 2019;8(2):1–03.

Wang L, Vogel DH. Posterior Epistaxis: Comparison of Treatment. Otolaryngol Head Neck Surg. 1981;89(6):1001– 1006. Available from:

Kennedy DW. Functional Endoscopic Sinus Surgery: Technique. Archives Otolaryngol Head Neck Surg. 1985;111(10):643–649. Available from:

Dixon JA, Parlein JL. Laser Photocoagulation in HHT. Otolaryngol Head Neck Surg. 1981;89:204–204.

Rosnagle RS, Yanagisawa E, Smith HW. SPECIFIC VESSEL LIGATION FOR EPISTAXIS: SURVEY OF 60 CASES. Laryngoscope. 1973;83(4):517–526. Available from:

Sehaitkin B, Strauss M, Houck JR, Hershey PA, Epistaxis. Medical versus surgical therapy; A comparison of efficacy, complications, and economic considerations. Laryngoscope. 1987;97:1392–1398.

Raushan EA, Kumar A. Traumatic Optic Neuropath: Is this the Ideal Management Protocol? Asian J Med Res. 2019;8(4):1–3.

Pollice P, Yoder M. Epistaxis: A retrospective review of hospitalized patients. Otolaryngol Head Neck Surg. 1997;117(1):49–53. Available from:

Philip AP, Milton GY. Epistaxis: A retrospective review of hospitalized patient. AJO Head Neck Surg. 1997;117(1):49– 53.

Arshad M, Ahmad Z, Liaqat A. Epistaxis: An experience with over 100 cases. Rawal Med J. 2007;32(2):142–147.

Villwock J, Jones K. Recent trends in epistaxis management in the United States. JAMA Otolaryngol Head Neck Surg. 2008;(12):1279–84.

Kuhn A, Hallberg OE. Epistaxis :An experience with over 100 cases. Arch Otolaryngol. 1955;62:130–130.

Maurer JJ, Miles M. Epidemiology of epistaxis admitted to tertiary hospital. J Neurosurg. 1961;18:837–837.

Monux A, Tomás M, Kaiser C, Gavilán J. Con- servative management of epistaxis. J Laryngol Otol. 1990;104(11):868–870. Available from:

Juselius H. Epistaxis a clinical study of 1,724 patients. J Laryngol Otol. 1974;88(4):317–327. Available from: