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RMJ. 2013; 38(1): 48-53


Causes and manangement of epistaxis at a district hospital

Muhammad ismail khan, Muhammad Marwat, Rafique Ahmad Khattak.

Abstract
Objective: To determine the frequency of causes, types, laterality, need for hospital admission and frequency and success rate of treatment modalities of epistaxis.
Materials and Methods: This study was conducted at Department of ENT, Mufti Mehmood Memorial Teaching Hospital, D.I.Khan from September 2010 to June 2012. All patients of acute epistaxis due to any cause were included. Those patients in whom bleeding stopped spontaneously were excluded. The data for the following nine variables was collected; gender, age in years, age group, cause, type and laterality of epistaxis, need for hospital admission and frequency and success rate of treatment modalities. Numerical data was analyzed for mean, standard deviation and range while ordinal and nominal data were analyzed for frequency and ratio manually.
Results: Out of 275 patients, 199 (64%) were male and 76 (36%) female. Mean age of the patients was 38.3023.69 years. Trauma was the commonest (46.9%) cause followed by hypertension (26.9%). Anterior epistaxis was commoner (61.45%) than posterior (20.75%). Silver Nitrate Cautry was the commonest (57.80%) treatment modality followed by anterior nasal packing (31.3%). The success rate was 91.80% for Silver Nitrate Cautry.
Conclusion: Carrying good success rate, Silver Nitrate Cautry is a preferred choice for treatment of anterior epistaxsis.

Key words: Epistaxis, nasal packing, silver nitrate.



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