Epistaxis may be from the anterior or posterior septum. Posterior epistaxis is usually from the sphenopalatine artery. Bleeding from Little's area may be cauterized by silver nitrate. Although the majority of epistaxis cases are self-limiting, it may sometimes be very severe and very difficult ...
Posterior epistaxis is less common and may not be clinically apparent because blood may flow down the throat. The most common causes of epistaxis include nose picking, a foreign body in the nasal cavity, and a dry nose. Usually, bleeding is self-limited, but severe epistaxis may occur in ...
TREATMENT Epistaxis from the anterior nasal septum is usually mild and easily controlled with firm continuous pressure on the nose and nasal septum for five to ten minutes; bleeding from the posterior nasal cavity cannot usually be controlled with first aid measures at home, often drips into the ...
Adequate pain control in patients with nasal packing, especially in those with posterior packing (However, the need of adequate pain control has to be balanced with the concern over hypoventilation in the patient with posterior pack.) Oral and topical antibiotics to prevent rhinosinusitis and possib...
Epistaxis from the anterior nasal septum is usually mild and easily controlled with firm continuous pressure on the nose and nasal septum for five to ten minutes; bleeding from the posterior nasal cavity cannot usually be controlled with first aid measures at home, often drips into the throat or...
The other demographic of interest are teenage males, where recurrent or profuse epistaxis (particularly posterior epistaxis) can be associated with Juvenile Nasal Angiofibroma (JNA). JNA is a benign fibrovascular neoplasm that typically arises in the region of the sphenopalatine foramen in the latera...
Woodruff’s plexus– This is located in the posterior nasal cavity in the inferior meatus Basic Characteristics Epistaxis is an extremely common condition, although only a fraction of cases will require the care of an otolaryngologist. Although the true incidence is difficult to calculate, roughly ...
Miller TR, Stevens ES, Orlandi RR (2005) Economic analysis of the treatment of posterior epistaxis. Am Rhinol 19:79–82 Google Scholar Padua F, Voegels RL (2008) Severe posterior epistaxis–endoscopic surgical anatomy. Laryngoscope 118:156–161 Article PubMed Google Scholar Snyderman CH, Gol...
Posterior bleeding is more dramatic and may require a surgical procedure or radiological guided embolization. Many patients, particularly the elderly have associated co-morbidities and medications that need to be addressed along with the standard treatment. This article discusses the assessment and ...
Epistaxisisanothernameforwhatiscommonlyknownasnose-bleeds Itisanacutehemorrhagefromthenostril,nasalcavity,ornasopharynx CommonEDcomplaint,but90%ofpatientscanbetreatedwith Occursupto60%ofgeneralpopulation,butrarelyleadstomassivebleedinganddeath Wheredoesithappen? Twosources Anterior(morecommon) Posterior(typicallycommo...