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Surgical treatment of severe epistaxis: an eleven-year experience
Authors:Paulo Saraceni Neto  Leonardo Mendes Acatauassu Nunes  Luis Carlos Gregório  Rodrigo de Paula Santos  Eduardo Macoto Kosugi
Affiliation:ENT at UNIFESP-EPM (Fellow in Rhinology at UNIFESP-EPM);ENT at UNIFESP-EPM (Assistant Physician in the Rhinology Sector at UNIFESP-EPM);PhD in Medicine from UNIFESP-EPM (Head of the Department of ENT & HNS at UNIFESP-EPM);PhD in Sciences from UNIFESP-EPM (Head of the Rhinology Sector at UNIFESP-EPM);PhD in Sciences from UNIFESP-EPM (Coordinator of the Rhinology Fellowship and Lead Preceptor in the ENT Medical Residency at UNIFESP-EPM). Division of Rhinology, Department of Otorhinolaryngology and Head and Neck Surgery UNIFESP
Abstract: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.ObjectiveTo analyze the profile of patients and the results this service has had in the surgical treatment of epistaxis for the last 11 years.MethodData from 98 patients submitted to surgery for epistaxis between 2000 and 2011 were analyzed retrospectively.ResultsMost 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%.ConclusionThis 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.
Keywords:epistaxis  natural orifice endoscopic surgery  otorhinolaryngologic surgical procedures
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