Babar Rafiq Khan, Hafiz Sajjad Hyder, Khawaja Shakeel Ghani, Nisar Akber Khan, Muhammad Ikhlaq Anwar, Muhammad Ehsan, Muhammad Taqi, Muhammad Ali Tirmizey.
Review of 300 Cases of Epistaxis.
Annals Punjab Med Coll Jan ;8(2):156-9.

Objective: Aim of the study was to determine the etiology and management options of epistaxis admitted through emergency in our ENT Ward of Allied Hospital, Faisalabad. Place & Duration of Study: This study includes 300 cases of epistaxis admitted through emergency in our ENT Ward of Allied Hospital, Faisalabad from January, 2013 to September, 2014. Materials & Methods: All the patients in this series were admitted through Emergency of ENT Department, Allied Hospital, Faisalabad. Detailed history & thorough examination was done in all the patients. Investigations to measure Hemoglobin, total & differential Leucocyte Count, Platelet Count, Random Blood Sugar, Electrolytes & Serum Creatinine. Bleeding parameters like, Bleeding Time / Clotting Time (BT/CT), Prothrombin Time & Activated Partial Thromboplastin Time (APTT) should also be requested. Results: In our study of 300 cases, 56 cases (18.67%) were of the maximum age group (51 to 60 years) and the minimum 30 cases (10%) were of age group between 1 to 10 years. 180 cases (60%) were males and 120 (40%) were females. Hypertension was the leading Etiological Factor in 83 cases (27.67 %) in our study. Next was the Idiopathic group in 67 cases (22.33%). Regarding treatment Anterior Nasal Packing was found to be sufficient in 123 cases (41%) in our study. 94 cases (31.33%) were required to be done Nasal Cautery. Only 09 cases (3%) required Posterior Nasal Packing. Arterial ligation or endovascular embolization was not required in any case. Conclusions: Our study concludes that hypertension is the leading cause of Epistaxis (27.67% of cases) in the age of group of 51 to 60 years (19% of cases). Whereas, the most effective treatment is Anterior nasal packing (41% of cases).

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