Rabelo FA; Prado VB; Valera FC; Demarco RC; Tamashiro E; Lima WT
UNLABELLED: Epistaxis is the capital otorhinolaryngology emergency and, in astringent cases, it can advance to hemodynamic alternation and be activity threatening.
AIM: To appraise factors complex in epistaxis aggressive to nasal packing that bare surgical treatment, as able-bodied as post-surgical results.
MATERIAL AND METHODS: Retrospective abstraction from January 2002 to August 2007. 40 after patients that underwent surgical analysis for adverse epistaxis were analyzed. Predisposing factors, procedures performed, charge of claret transfusion, and ceremony were evaluated.
RESULTS: Otorhinolaryngology column accessible complications (37.5%), aerial claret burden (30%), and coagulopathy (15%) were the capital factors accompanying to epistaxis. 50% of the patients (n=20) presented with hemodynamic alternation and 90% of them (n=18) bare claret transfusion. Eletrocauterization of the bleeding armpit was abundant in 35% of these patients (n=14), while in 65% (n=26) was all-important cauterization and/or arterial ligation. Five patients (12.5%) had bleeding recurrence, which bare re-operation.
CONCLUSION: Earlier break of surgical analysis to ascendancy astringent and adverse epistaxis to accepted treatment, abnormally in a citizenry with aerial accident such as column accessible bleeding and coagulopathies, may abatement the charge of claret transfusion.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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