Retrospective Clinical Study on Epistaxis

Clinical Study on Epistaxis

  • Md Sharif Alam Senior Resident, Department of ENT, ANMMCH, Gaya
  • R P Thakur Associate Professor, Department of ENT, ANMMCH, Gaya
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. Aims & Objectives: Evaluate incidence, etiology, provoking factors and cost effective management.Subjects and Methods:A 3years retrospective study between September2015 to August 2018 carried out in Anugarah Narayan Magadh Medical college& Hospital,Gaya on 98 admitted epistaxis patients.Results:Total11,667 patients came in ENT department among them2,723 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 in32 cases(32.65%) then infection in19.32% and lastly by trauma in 5.68%.Maximum patients in40-50 years age group 36% and minimum in70-80 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 inJanuary-March months 45cases (46.59%).Most patients came with unilateral epistaxis 86cases(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) in43 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:Costeffectively anterior nasal packing is best conservative indirect method and electrocauterization is very effective direct method.