Identification of common bleeding points in intractable epistaxis.

IF 0.8 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-09-09 DOI:10.1017/S0022215125103447

Holly Jones, Alison McHugh, John Lang, Bronagh Lang

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引用次数: 0

Abstract

Objectives: To localise bleeding points identified in patients with intractable epistaxis.

Methods: We reviewed all patients with intractable epistaxis who underwent endoscopic nasal examination under anaesthesia between 1989 and 2024 in a tertiary otolaryngology unit in Ireland.

Results: In total, 194 patients were included. Bleeding points were identified in 85 per cent of patients (165 cases). In addition, 89 patients (46 per cent) had bleeding from the septum, 70 (36 per cent) of which were high on the anterosuperior septum above the axilla of the middle turbinate. It was also found that 77 patients (40 per cent) had bleeding from the lateral nasal wall: 44 (23 per cent) at the posterior end of the middle meatus and 33 (17 per cent) at the posterior end of the inferior meatus.

Conclusion: This study describes remarkably consistent bleeding point localisation in epistaxis failing first-line measures. We recommend detailed endoscopic examination as a first-line intervention in such instances. Direct cauterisation is the simplest method for controlling epistaxis, avoiding complex procedures such as arterial ligation or embolisation.

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难治性鼻出血常见出血点的鉴别。

目的：探讨难治性鼻出血患者的出血点定位。方法：我们回顾了1989年至2024年间在爱尔兰第三耳鼻喉科接受麻醉下内窥镜鼻检查的所有顽固性鼻出血患者。结果：共纳入194例患者。85%的患者（165例）发现了出血点。此外，89例（46%）患者有鼻中隔出血，其中70例（36%）位于中鼻甲腋窝上方的前上鼻中隔。还发现77例（40%）患者鼻侧壁出血：44例（23%）在中鼻道后端，33例（17%）在下鼻道后端。结论：本研究描述了出血失败的一线措施显著一致的出血点定位。我们建议在这种情况下进行详细的内窥镜检查作为一线干预措施。直接烧灼是控制鼻出血最简单的方法，避免了复杂的手术，如动脉结扎或栓塞。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.