EPISTAXIS - 07/09/11

Doi : 10.1016/S0025-7125(05)70086-9

Luke K.S. Tan, MD, MMedSci, FRCS ^a,^b, Karen H. Calhoun, MD, FACS ^a

^a Department of Otolaryngology, University of Texas Medical Branch (KHC, LKST), Galveston, Texas

^b Department of Otolaryngology, National University of Singapore, Singapore (LKST)

Resumen

Patients presenting with epistaxis are anxious and fear bleeding to death. Although death from epistaxis is rare, it can occur, and significant morbidity is relatively common.^{5 Cassisi N.J., Biller H.F., Ogura J.H. Changes in arterial oxygen tension and pulmonary mechanics with the use of posterior packing in epistaxis: A preliminary report Laryngoscope 1971 ; 81 : 1261-1266 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 34 Lucente F.E. Thanthology: A study of 100 deaths Trans Acad Ophthalmol Otol 1972 ; 76 : 334-339

Haga clic aquí para ir a la sección de Referencias} Although most pediatric epistaxis is treated on an outpatient basis, older patients (>60 years old) more often require hospital admission.^{25 Juselius H. Epistaxis: A clinical study of 1724 patients J Laryngol Otol 1974 ; 88 : 317-327

Haga clic aquí para ir a la sección de Referencias, 44 Okafor B.C. Epistaxis: A clinical study of 540 cases Ear Nose Throat J 1984 ; 63 : 153-159

Haga clic aquí para ir a la sección de Referencias} Initial management of epistaxis is directed at stopping the bleeding, and long-term treatment is directed at discovering and correcting the underlying cause. This article updates current management options.