Epistaxis posterior. Revisión de una serie de 72 pacientes

  1. PICHER-GÓMEZ, Diego Juan 1
  2. NICOLÁS-MARTÍNEZ, Paula 1
  3. OSETE-ALBADALEJO, José Miguel 1
  4. DÍAZ-MANZANO, José Antonio 1
  1. 1 Universidad de Murcia
    info

    Universidad de Murcia

    Murcia, España

    ROR https://ror.org/03p3aeb86

Revue:
Revista ORL

ISSN: 2444-7986,  2444-7986

Année de publication: 2019

Volumen: 10

Volumen: 1

Pages: 57-64

Type: Article

DOI: 10.14201/18735 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

D'autres publications dans: Revista ORL

Objectifs de Développement Durable

Résumé

Nowadays there is not exhaustive consensus regarding posterior epistaxis management and different factors may vary the applied treatment. Method: 72 patients who were admitted to our center with a discharge diagnosis of posterior epistaxis between 2010 and 2015 were selected. The types of nasal packing, the invasive tratment needed, personal history associated with increase in incidence and/or mangement diffculties, age and gender were analyzed after applying the exclusion criteria. Results: The average age was 62 years old. 78% were men. 55.6% had a hypertension diagnosis, while 22.2% were diagnosed at admission. 31.9% were in oral anticoagulant therapy and 11.1% antiplatelet therapy. Bibalonated catheter was used in 60 patients (85.7%) as first nasal packing, anteroposterior nasal packing in 6 patients (8.6%). The mean time of the first tamponade was 3.74 days. 15 patients (20.8%) needed a second nasal packing and one patient needed the placement of a 3rd nasal packing. During admission, 5 patients (6.9%) required invasive treatment, in 2 of them without previous nasal packing. In 4 patients a surgical treatment was performed, and interventional treatment was performed in 2 patients. Conclusions: The bibalonated catheter is the first choice in our hospital. The nasal packing duration is lightly higher than described in the literature. After an exhaustive research about this topic, we can conclude that the therapeutic management of epistaxis is still a controversial point in Otorhinolaryngology.

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