JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY)

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Management of adult obstinate epistaxis by endoscopy

LIAN Zhuang， ZHANG Pan   

  1. Department of Otolaryngology & Head and Neck Surgery, Yangzhou First People′s Hospital,Yangzhou 225001, Jiangsu, China
  • Received:1900-01-01 Revised:1900-01-01 Online:2007-08-24 Published:2007-08-24
  • Contact: LIAN Zhuang

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Abstract: Objective: To explore the sites of adult obstinate epistaxis and investigate an effective and minimally invasive management for hemostasis under endoscopy. Method: Bleeding points were searched for and treated by electro-coagulation under an endoscope. Result: Bleeding was found in the olfactory cleft of the nasal septum and the top nasal septum in 68 cases (52.7%), at the superior wall of the inferior meatus in 37cases (28.7%), undernearth the sphenoethmoidal recess in 10 cases (7.8%), in the Little′s area in 8 cases (6.2%), in the posterosuperior area of the nasal septum in 5 cases (3.9%) and was indefinite in 1 case. Conclusion： Almost all bleeding points of adult obstinate epistaxis cases can be found under endoscopy and they are mainly distributed in the olfactory cleft of the nasal septum and the top nasal septum, or at the superior wall of the inferior meatus. Electro-coagulation under endoscopy is an effective and minimally invasive management for adult obstinate epistaxis.

Key words: Epistaxis, Endoscopy, Electrocoagulation, Hemostasis

CLC Number: 

  • R765.23
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