Surgical treatment of severe epistaxis: an eleven-year experience

被引：17

作者：

Saraceni Neto, Paulo ^{[1
]}

Acatauassu Nunes, Leonardo Mendes ^{[1
,2
]}

Gregorio, Luis Carlos ^{[1
,3
]}

Santos, Rodrigo de Paula ^{[1
,2
]}

Kosugi, Eduardo Macoto ^{[1
,4
]}

机构：

[1] UNIFESP EPM, Sao Paulo, Brazil

[2] UNIFESP EPM, Rhinol Sect, Sao Paulo, Brazil

[3] UNIFESP EPM, Dept ENT & HNS, Sao Paulo, Brazil

[4] Dept Otorhinolaryngol & Head & Neck Surg UNIFESP, Div Rhinol, UNIFESP EPM, Sao Paulo, Brazil

来源：

BRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY | 2013年 / 79卷 / 01期

关键词：

epistaxis; natural orifice endoscopic surgery; otorhinolaryngologic surgical procedures; SPHENOPALATINE ARTERY; POSTERIOR EPISTAXIS; INTRACTABLE EPISTAXIS; MANAGEMENT; OCCLUSION;

D O I：

10.5935/1808-8694.20130011

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Epistaxis is one of the most prevalent emergencies in ENT practice, and its surgical treatment is part of the routine at services for emergency care, especially in cases refractory to clinical procedures. Objective: To analyze the profile of patients and the results this service has had in the surgical treatment of epistaxis for the last 11 years. Method: Data from 98 patients submitted to surgeiy for epistaxis between 2000 and 2011 were analyzed retrospectively. Results: Most in the sample were males, and mean age was around 46 years. Hypertension was identified in 58% of patients, and most events occurred during fall and winter. The re-bleeding rate was 13.27%. Conclusion: This study concluded that the surgical treatment for epistaxis, when indicated, had good success rates and low incidence of complications. In our service, it remains as the gold-standard procedure for nosebleeds refractory to initial management measures.

引用

页码：59 / 64

页数：6

共 18 条

[11] Severe Posterior Epistaxis-Endoscopic Surgical Anatomy [J].