جستجوی مقالات مرتبط با کلیدواژه "اپیستاکسی" در نشریات گروه "پزشکی"

 Epistaxis, also known as a nosebleed, is the bleeding from the nasal cavity or nasopharynx and is a common issue among individuals. Although epistaxis often resolves spontaneously, it can be life-threatening in certain cases, such as in elderly patients or those with underlying health conditions.

 In this descriptive-analytical study, a convenience sampling method was used to evaluate 226 patients presenting with epistaxis at Kamkar and Arabnia Hospitals affiliated with Qom University of Medical Sciences. Data were collected using a checklist that included demographic information and interventions performed, and were analyzed in SPSS using descriptive and inferential statistics.

 A majority of patients diagnosed with epistaxis had local etiologies confined to the nasal area without systemic diseases, representing 51.8% (117 individuals). The study found significant correlations between pack-cell injection and Surgicel application (P<0.001), pack-cell injection and tampon type (anterior, anterior-posterior, or other treatments) (P=0.005), age and Surgicel application (P<0.001), age and tampon type (P<0.002), and age and referral reason (P<0.001). No significant relationship was observed between gender and tampon type (P=0.511).

 Considering the significant correlations between the variables and the decrease in patient revisits for those treated with Surgicel, along with the potential use of pack-cell in critical cases, it is recommended to undertake essential actions to improve patient outcomes. The adoption of Surgicel for patient management is suggested for enhanced care.

Epistaxis is one of the most common symptoms referring to emergency department, which suitable and effective treatment needs in short term. Therefore the purpose of the present study was to compare the outcome of topical tranexamic acid (TA) with nasal tampon in management of epistaxis.

The present clinical trial study was performed on 150 patients with epistaxis in three groups. The patients of the first group were treated as a control group with a tampon that was lubricated with tetracycline ointment. The second group (TA group) received 15 cm gauze coated with TA and put in the nasal cavity. The third group received 15 cm gauze coated with TA and then nasal tampon coated with lubricant and tetracycline ointment. Then bleeding and nausea were assessed and recorded in the first 24 hours and the first week after intervention. Finally, statistical analysis was performed with SPSS software and Chi-square and one-way analysis of variance tests were used.

The time of bleeding cessation was significantly more in control groups as compared to intervention groups(P=0.04). The incidence of complications such as nausea and vomiting was much lower in the TA group than in the control group (P<0.05).

The results of this study showed the beneficial effects of TA in reducing the time of nasal bleeding with lower side effects, which could be prescribed as a treatment in addition to standard therapy and significantly lead to better control of nasal bleeding in the short term.

A significant number of patients undergoing maxillofacial surgery needs nasotracheal intubation. In nasotracheal intubation, selecting the most appropriate nostril regarding normal anatomical conditions can be effective in reducing the time needed to pass the tube through the nose and epistaxis. The purpose of this study was to evaluate the effect of choosing right or left nostril on the post nasotracheal intubation complications.

In this study, 111 patients underwent maxillofacial surgery with nasotracheal intubation of the left (n = 55) and the right nostril (n = 56), were enrolled. Intubation time and complications such as bleeding, epistaxis, bronchospasm, vomiting, and submucosal intubation were recorded and compared between the two groups.

The time of intubation through the right nostril with 55.72 ± 51.47 seconds was not significantly different from the left nostril with 57.86±48.88 seconds (P = 0.826). In contrast, the incidence of epistaxis in intubation through the right nostril with 25.0% was significantly lower than the left one with 43.6% (P = 0.039).

 According to the results of this study, although the time of intubation through the both nostrils was not different between the two groups, the incidence of epistaxis and its severity in the intubation through the right nostril were far less than the left one. Therefore, it seems that the right nostril be an appropriate pathway of intubation in the patients with a natural-looking nose.

Epitasis is a disorder that affects about 60% of the population, and the lack of treatment of this disorder causes a lot of problems for the patient. Therefore, this study aimed at examining the effect of the educational package on reducing the recurrence and severity of bleeding in patients with epistaxis. This clinical trial study was performed on 60 patients with epistaxis referred to Matini Hospital, Kashan, Iran. Patients were randomly assigned into two equal groups of intervention and control (n=30, each group). In addition to routine care services, patients in the intervention group received an educational package including face to face education and educational pamphlets. Patients in the control group only received routine care services. After one month of training, at the end of the 4th, 8th and 12th weeks, the intensity and recurrence of epistaxis were evaluated. Sixty percent of the patients in the intervention group and 66.7% of the control group were female and the rest were male. The mean age of the subjects in the intervention group was 50.8±19.39 and in the control group was 47.51±19.19 years. The frequency rates of recurrence of nasal bleeding during the first four weeks in the intervention and control groups were 20% and 46.7%, respectively (P=0.03), whereas in the 8th week, 6.7 and 16.7 percent (P=0.43) and in the 12th week were 0 and 6.7 in intervention and control groups (P=0.49). Also, the severity of bleeding was lower in the first week (P=0.07) than in the eighth week (P=0.37) and twelfth (P=0.35). A short-time education through face-to-face and pamphlet can reduce recurrence of epistaxis while having a modest effect on severity of bleeding.

Epistaxis is defined as acute hemorrhage from the nostril, nasal cavity, or nasopharynx. It is a frequent Emergency Department (ED) complaint and often causes significant anxiety in patients and clinicians. Accordingly, this study aimed to compare the administration of topical Phenylephrine with topical Tranexamic Acid (TXA) in management of epistaxis.
This double-blind, randomized clinical trial was conducted on 120 patients with epistaxis referred to Imam-Khomeini University in Urmia, Iran. Patients who met the inclusion criteria, were randomly allocated into two intervention and control groups. Sixty patients in the intervention group received one pledget soaked with TXA for 10 minutes in each nasal cavity. Sixty patients in the control group received Phenylephrine 0.5% with the same way. The cessation of bleeding in ED were evaluated by 10 minutes after the administration of the above-mentioned drugs.
Nasal hemorrhage was stopped in 17 out of 60 patients of control group received Phenylephrine (28.3%) while in the intervention group received TXA, 40 out of 60 patients (66.7%) experienced the cessation of their nosebleed that the difference was clinically and statistically significant (P According to study results, topical application of injectable form of TXA (500mg/5mL) can be used as an ideal drug in management of epistaxis in prehospital and hospital settings and subsequently leads to a reduction of extra costs and length of stay in the EDs.

ntroduction: Post-traumatic pseudoaneurysm of internal carotid arteries is rare entity. The patients may present with massive epistaxis due to rupture of the aneurysm into the sphenoid sinus. The clinical features of unilateral blindness and massive epistaxis after head injury should indicate the diagnosis. Carotid angiography will lead to the correct diagnosis.Case report: We present a 22-year old man with the history of recurrent epistaxis after head trauma diagnosed with traumatic internal carotid artery aneurysm. Clinical features, diagnostic approaches and patient’s treatments are reviewed. This case report emphasizes the rare but potentially fatal complication of internal carotid artery aneurysm after head trauma. Knowledge of the clinical features causes early and successful treatment.