PMID: 9001260Jan 1, 1997Paper

Effectiveness of surgical management of epistaxis at a tertiary care center

The Laryngoscope
D W BarlowE F Pinczower

Abstract

A retrospective review is presented of 44 consecutive patients requiring hospitalization for epistaxis at a tertiary care center. The study had the following objectives: 1. to identify predictors of surgical treatment, and 2. to compare the effectiveness of different surgical treatments. Length of stay, complications, and cost analysis are also presented. Eighteen patients were successfully treated nonsurgically, whereas 26 patients received surgical treatment. Posterior epistaxis (P<0.05) and an admission hematocrit less than 38% (P<0.05) were significant predictors of surgical treatment. The rebleed rate after first surgical therapy was 33% for embolization, 33% for endoscopic cautery, and 20% for ligation. Since embolization, ligation, and endoscopic cautery may have nearly equivalent failure rates, other factors, such as cost and institutional expertise, should guide the selection of surgical treatment.

References

Sep 11, 1992·Archives of Otolaryngology--head & Neck Surgery·K O'Leary-StickneyE A Weymuller
Jun 1, 1991·The Journal of Laryngology and Otology·G W McGarry
Aug 1, 1990·The Journal of Laryngology and Otology·J G Toner, A P Walby
Dec 1, 1988·Clinical Otolaryngology and Allied Sciences·M WehrliA Valavanis
Dec 1, 1995·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·E B StrongJ M Jacobs
Jan 1, 1995·Archives of Otolaryngology--head & Neck Surgery·M M ElahiD H Lee
Jul 1, 1994·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·L EldenD Charles
Aug 1, 1993·Archives of Otolaryngology--head & Neck Surgery·T M SiniluotoK E Jokinen

❮ Previous
Next ❯

Citations

Dec 17, 2011·The Journal of Laryngology and Otology·J RisleyN S Jones
Sep 28, 2002·The Laryngoscope·Darrell A KlotzArthur S Hengerer
May 15, 2013·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Karin MurerMichael B Soyka
Jun 25, 2013·Auris, Nasus, Larynx·Yuji AndoHiroshi Moriyama
Apr 23, 2013·Emergency Medicine Clinics of North America·Zachary A Kasperek, Gary F Pollock
Mar 19, 2013·Brazilian Journal of Otorhinolaryngology·Paulo Saraceni NetoEduardo Macoto Kosugi
Apr 5, 2005·The Laryngoscope·M A ThorntonJ Lang
Apr 3, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R L VoegelsO Butugan
Mar 5, 1998·The Annals of Otology, Rhinology, and Laryngology·J B PritikinW R Panje
Oct 27, 2006·American Journal of Rhinology·Daniel B SimmenNick S Jones
Aug 6, 1999·The Journal of Laryngology and Otology·J P Bent, B P Wood
Oct 3, 2018·American Journal of Rhinology & Allergy·Albert H ZhouJean Anderson Eloy

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Archives of Otolaryngology--head & Neck Surgery
K R Jackson, R T Jackson
Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
John W Hudson
Postgraduate Medical Journal
L E R Pope, C G L Hobbs
Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
P A Pollice, M G Yoder
© 2022 Meta ULC. All rights reserved