SELECT ISSUE
HIGHLIGHTS
Plagiarism’s meaning comes from the Latin word ‘plagiarius,’ which means to kidnap. When someone uses the work of another writer or artist without properly citing the source or giving credit, that’s plagiarism. [...]
Committe on Publication Ethics
A forum for responsible and ethical research publishing – Code of Conduct and Best Practice Guidelines for Journal Editors.
Members Area
Treatment Options for Severe Epistaxis, the Experience of Coltea ENT Clinic
Alina Georgiana ANGHEL, Cristian Costin SOREANU, Mihai DUMITRU and Ion ANGHEL
ABSTRACT
Objectives: The study presents the experience of the Coltea ENT Clinic with the most common emergency in ENT pathology.
Materials and methods: This a retrospective study including a group of 242 patients that were submitted in Coltea ENT Clinic during 2012 with anterior or posterior epistaxis.
Results: The study group comprises 51.24% women and 48.76% men with 73.14% of patients (177) coming from urban areas and the remaining 26.86% (65) from rural areas. The total number of days of hospitalization is 1411, representing an average of 5.83 days / patient. Epistaxis was anterior in 80.17% of cases (194 patients) and antero-posterior in 19.83% (48 patients). 132 patients, representing 54.55% presented elevated blood pressure whereas liver and hematological disorders are uncommon etiologies. Therapeutic interventions are mostly non-surgical 207 (85.54%), the remaining 35 cases (14.46%), requiring surgery.
Conclusions: Epistaxis associated with high blood pressure is found in 54.55% of the study group. In 38.02% of cases the etiology cannot be determined. Pluri-factorial etiology is common. The most difficult to control were the cases with epistaxis of hepatic etiology, in which cases the surgical solution was required.