SavedAdd your journal

Journals / Journal of Anatolian Medical Research / 2026 / Cilt: 10 Sayı: 2

Our Approach to Managing Adult Patients with Epistaxis

Erişkin Epistaksis Hastalarına Yaklaşımımız

Serkan Altıparmak(ERZİNCAN ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-9451-7438
Ayhan Kars(Erzincan Binali Yıldırım Üniversitesi Tıp Fakültesi)0000-0003-4580-315X
İsmail Salcan(Erzincan Binali Yıldırım Üniversitesi Tıp Fakültesi)0000-0001-8034-1064
Pages
33–36
Publication Date
2025-08-31
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Appropriate treatment in the management of epistaxis ensures both an effective bleeding control and a more effective post-bleeding period.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Epistaxis is a common emergency in otolaryngology clinics.
📊
Key Findings & Data:We aimed to both increase physicians’ awareness on this issue and to discuss the issue of epistaxis in light of current literature.
💡
Conclusion & Impact:Appropriate treatment in the management of epistaxis ensures both an effective bleeding control and a more effective post-bleeding period.
🔬Design:Araştırma Makalesi
📍Scope:2024 Verileri
⚙️Variables:Epistaksis · anterior nazal tampon · koterizasyon

Abstract

Aim: Epistaxis is a common emergency in otolaryngology clinics. While the vast majority of these bleedings can be managed with simple interventions, they can sometimes be life-threatening. We aimed to both increase physicians’ awareness on this issue and to discuss the issue of epistaxis in light of current literature. Materials and Methods: This study was conducted retrospectively on 102 patients who presented to the otolaryngology clinic of Binali Yıldırım University Mengücek Gazi Training and Research Hospital with complaints of active epistaxis between March 2024 and December 2024. Result: A total of 102 patients, 54 male and 48 female, were included in the study. The mean age of the patients was calculated as 57.2 (18-97). Of the patients with epistaxis, 64 (62%) had hypertension, 26 (25%) had coronary artery disease, 15 (14%) had diabetes mellitus, and 30 (30%) were using anticoagulant medication. The bleeding site was found to be Kiesselbach plexus in 60 patients, Woodruff plexus in 16 patients, lateral nasal wall in 6 patients, and nasal roof in 4 patients. The bleeding source could not be precisely identified in 16 patients. In 58 patients, the bleeding source was cauterized only with bipolar cautery, anterior nasal packing was applied after cauterization in 26 patients, and anterior packing was used only in 16 patients. Endoscopic sphenoplatinum artery ligation was also performed in two patients. Conclusion: Epistaxis is a common emergency in the community. Appropriate treatment in the management of epistaxis ensures both an effective bleeding control and a more effective post-bleeding period.

Özet

Amaç: Epistaksis, kulak burun boğaz kliniklerinde en sık görülen acil durumdur. Bu kanamaların büyük çoğunluğu basit müdahaleler ile giderilebileceği gibi bazen hayatı tehdit edebilecek kadar ciddi olabilir. Biz bu konuda hem hekimlerin farkındalığını artırmayı, hem de epistaksis konusunu güncel literatür eşliğinde tartışmayı amaçladık. Gereç ve Yöntemler: Bu çalışma Mart 2024 ile Aralık 2024 tarihleri arasında Binali Yıldırım Üniversitesi Mengücek Gazi Eğitim ve Araştırma Hastanesi kulak burun boğaz kliniğine aktif epistaksis şikayeti ile başvuran 102 hasta üzerinde retrospektif olarak gerçekleştirilmiştir. Bulgular: Çalışmaya 54’ü erkek 48’i kadın olmak üzere toplam 102 hasta dahil edildi. Hastaların yaş ortalaması 57,2 (18-97) olarak hesaplandı. Epistaksisli bireylerin 64 (%62)’ünde hipertansiyon, 26 (%25) sında koroner arter hastalığı, 15 (% 4)’inde diabet, 30 (%30)’unda antikoagülan ajan kullanımı mevcuttu. Hastaların 60’ında kanama alanının Kiesselbach pleksusu, 16‘sında Woodruff pleksusu, 6’sında lateral nazal duvar, 4’ünde nazal çatı olduğu saptandı. 16 hastada kanama odağı tam olarak tespit edilemedi. Hastaların 58’inde kanama odağı sadece bipolar koter ile koterize edilmiş, 26’sında bipolar koter kullanımı sonrası anterior tampon uygulaması yapılmış, 16 hastada da sadece anterior tampon kullanılmıştır. 2 hastada da endoskopik olarak sfenoplatin arter ligasyonu uygulanmıştır. Sonuç: Epistaksis toplumda sık görülebilen acil bir durumdur. Epistaksise uygun yaklaşım, hem kanamayı daha etkili durdurmayı, hem de hastanın daha konforlu bir dönem geçirmesini sağlar.

🔖

Cite This Article

Altıparmak, S., Kars, A., Salcan, İ. (2025). Our Approach to Managing Adult Patients with Epistaxis. Journal of Anatolian Medical Research, Cilt: 10 Sayı: 2, 33–36. https://ajindex.com/articles/1505329

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (18)

  1. Eryilmaz A, Günel C, Başal Y, Başak S. Our approach to adult patients with epistaxis. J Craniofac Surg. 2016;27(3):e298-e301.
  2. Meccariello G, Georgalas C, Montevecchi F, Cammaroto G, Gobbi R, Firinu E, et al. Management of idiopathic epistaxis in adults: what’s new? Acta Otorhinolaryngol Ital. 2019;39(4):211-219.
  3. Varshney S, Saxena RK. Epistaxis: a retrospective clinical study. Indian Journal of Otolaryngology, Head Neck Surgery. 2005;57(2):125–129.
  4. Parajuli R. (2015) Evaluation of etiology and treatment methods for epistaxis: a review at a tertiary care hospital in central Nepal. Int J Otolaryngol.2015;2015(9):1–5.
  5. Lu YX, Liang JQ, Gu QL, Pang C, Huang CL. Pediatric epistaxis and its correlation between air pollutants in beijing from 2014 to 2017. Ear Nose Throat J. 2020;99(8):513-517.
  6. Tunkel DE, Anne S, Payne SC, Ishman SL, Rosenfeld RM, Abramson PJ et al. Clinical Practice Guideline: Nosebleed (Epistaxis). Otolaryngol Head Neck Surg. 2020;162(1):1-38.
  7. Gottlieb M, Long B. Managing epistaxis. Ann Emerg Med. 2023;81(2):234-240.
  8. Mgbor NC. Epistaxis in Enugu: A 9 year review. Nig J of Otolaryngology. 2004;1(2):11–14.
  9. Hughes JM, Teh BM, Hart CJ, Gibbs HH, Aung AK. Risk factors and management outcomes in epistaxis: a tertiary centre experience. ANZ J Surg. 2023;93(3):555-560.
  10. Daniel A, Stephen Y. Clinical profile of epistaxis in Sokoto: A 12- year analysis. Int J Otorhinolaryngol. 2019;5(1):20–23.
  11. Nayak P, Das A. Clinicoepidemiological study on epistaxis and its management. Int Organ Sci Res J Dent Med Sci. 2020;19(1):4–7.
  12. Byun H, Chung JH, Lee SH, Ryu J, Kim C, Shin JH. Association of hypertension with the risk and severity of epistaxis. JAMA Otolaryngol Head Neck Surg. 2020;147(1):1–7.
  13. Venettacci O, Nettlefold C, Chan L, Daniel M, Curotta J. Sublabial packing: a novel method of stopping epistaxis from Little’s area. Int J Pediatr Otorhinolaryngol. 2013;77(8):1370-1371.
  14. Alharethy S. Recent Insight into the prevalence, etiology and outcome of epistaxis in a university hospital in Saudi Arabia. J Nature Sci Med. 2019;2(2):61–63.
  15. Mehta N, Stevens K, Smith ME, Williams RJ, Ellis M, Hardman JC, et al. National prospective observational study of inpatient management of adults with epistaxis - a National Trainee Research Collaborative delivered investigation. Rhinology. 2019;57(3):180- 189.
  16. Beck R, Sorge M, Schneider A, Dietz A. Current approaches to epistaxis treatment in primary and secondary care. Dtsch Arztebl Int 2018;115(1-02):12-22.
  17. Pop SS, Tiple C, Stamate MC, Chirila M. Endoscopic sphenopalatine artery cauterization in the management of recurrent posterior epistaxis. Medicina (Kaunas). 2023;59(6):1128-1137.
  18. Beck R, Sorge M, Schneider A, Dietz A. Current approaches to epistaxis treatment in primary and secondary care. Dtsch Arztebl Int 2018;115(1-02):12-22.