JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY)

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Transnasal endoscopic management for hidden severe epistaxis

LOU Zheng-cai   

  1. Department of Otolaryngology, Yiwu Central Hospital, Yiwu 322000, Zhejiang, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2007-08-24 Published:2007-08-24
  • Contact: LOU Zheng-cai

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Abstract: Objective: To explore the effect of endoscopy for hidden severe epistaxis. Methods: One hundred and six patients were examined by endoscopy and treated by selectively minimum invasive surgery. Results: The bleeding points were discovered by one examination in 93 cases （87.74%）, by two treatments of the nasal anomalous structure and nasal diseases in 11 cases （10.37%）, and were uncertain in 2 cases（1.89%）. Ninety cases(84.91% ) were cured by one treatment, 14 cases(13.20% ) by two and 2 cases by three. There was no relapse during a followedup for 3 months after management. One case had nasal septum perforation. Conclusion: Refractory epistaxis should be individually treated: first to be found and second to be treated under endoscopy.

Key words: Epistaxis, Endoscopy, Anatomy

CLC Number: 

  • R765.23
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