Abstract
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.
Highlights
Bleeding through nose and nasal cavity called epistaxis
It is seen that 60% people experiences their life time to epistaxis and 6% population only went to take consultation. [1]
This study comprises 98 patients admitted for the management of epistaxis in the ENT & HNS department of Anugarah Narayan Magadh Medical College & Hospital, Gaya, Bihar
Summary
Bleeding through nose and nasal cavity called epistaxis. It issymptom and present as most common complain in the emergency. It is very disastrous situation for the attendant & sometime very difficult to manage for the doctors too. It is most common emergency situation in ENT that is disastrous to the patient and troublesome to treat for doctors. Most patients came with unilateral epistaxis 86 cases (87.5%). 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. Conclusion: Cost effectively anterior nasal packing is best conservative indirect method and electrocauterization is very effective direct method
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