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A prospective observational study to see the effectiveness of non surgical methods to control epistaxis, which can be utilised in minimally equiped set ups as in our peripheries

Author: 
Dr. Aijaz A Wani, Dr. SajadHamid and Dr. Qazi Najeeb
Subject Area: 
Health Sciences
Abstract: 

Background: Epistaxis is most common E.N.T. emergency. The present study is a prospective observational study to study effectiveness of non surgical methods to controll epistaxis, even in minimally equiped set ups in our peripheries. Objective: To evaluate and compare the outcome of various treatment modalities. Methods: After taking history and through clinical and E.N.T. examination, baseline investigations, diagnostic nasal endoscopy, radiological examination whereever needed reassurance and non surgical methods were sufficient to effectively control epistaxis in most cases. Surgical methods were needed in less than 4% of cases in our set up. Results: In our study, Non- surgical procedures were the main stay of treatment of epistaxis in 96.5% of cases. Surgical measures account to 3.5%. The overall success of treatment was 85%. Conclusion: We concluded that epistaxis affects all age groups and both sexes, with males more than females. Non-surgical treatment is still useful to arrest nasal bleeding, safe and cost effective. Surgical intervention should be the last resort of treatment.

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