Pathogenese und Therapie der Epistaxis – Eine prospektive Analyse von 108 konsekutiven Fällen an der HNO-Klinik der Philipps-Universität Marburg

Martin Christopher Kanne, Hals- Nasen- Und Ohrenheilkunde, Folz, B. J. (Dr.)
Epistaxis is a frequent symptom in otorhinolaringology which often requires emergency treatment. A frequent appearance of epistaxis is observed under the influence of certain meteorological conditions. The intensity of the epistaxis can be very different and can requiere different treatment measures according to the localization of the bleeding. The different stepts in the management of epistaxis are influenced by certain accompanying diseases, that favor the emerging and the recurrent course
more » ... recurrent course of the epistaxis. This investigation examines 108 consecutive cases of epistaxis that were treated in the period by January to May 2003 in the clinic for otorhinolaringology, part of the university clinic of Marburg. The analyzed factors were among others the localization of the hemorrhage source, the treatment methods used, the accompanying diseases and the local nasal factors shown by the patients. The results showed the following data: The general average age of all 108 patients was 61.6 years. The average hospitalisation time was 4.4 days. The sexes ratio was balanced with 51.9% man to 48.9% woman. The meteorological influences on the increased appearance of patients with epistaxis were low temperatures, high air pressure values and small amounts of rainfall during the observed time. The most frequent localization of the epistaxis was the anteriore epistaxis, containing the Locus Kiesselbachii area (48 cases). In 24 patients the bleeding was a posteriore, usually diffuse epistaxis raising from the ethmoidal cells area. The other hemorrhage sources were caused by special local factors like traumatic injuries, local tumors or vascular malformations. The treatment of the anterior epistaxis was carried out primary with a focused coagulation of the hemorrhage sources (successful hemostasis in 82.5%) and could be performed in 24 cases without hospitalisation. Five patients hospilalised in other clinics of the Marburger university clinic were treated consultantly in this manner. Nineteen patients had to receive stationary treat [...]
doi:10.17192/z2007.0383 fatcat:q7ubwxspwbgnzh3s3tmckew7ha