ABSTRACT
Background: Epistaxis remains a common otorhinolaryngological emergency in most hospital emergency departments with varied manifestations. The pattern as seen in a tertiary health institution in sokoto; Nigeria is the subject of this paper. Method: This is a 5 year retrospective study (January 1995-December 1999) of all cases of epistaxis presenting at or referred to the Ear; Nose and Throat (ENT) Department of Usmanu Danfodiyo University Teaching Hospital (UDUTH) Sokoto; Nigeria whose data were analyzed. Results: A total number of 72 cases were seen with epistaxis out of 3;706 new cases seen at the ENT clinic. The incidence of epistaxis amongst UDUTH ENT patients was 19/1000.There were 45 males (62.5) and 27 Females (37.5) with a male to female ratio of 1.7:1.Their ages ranged between 1and 70 years with the 0-10 age range recording the highest number (26.4).The commonest cause of epistaxis was idiopathic (29.2); followed by trauma (27.8) and hypertension (18.0).Non surgical methods (97.2) such as observation alone (34.7) without active intervention to arrest bleeding; and nasal packing (34.7);being the commonest intervention measures used to actively arrest bleeding followed by cauterization of the bleeding points (11.1) were the frequent treatment measures. Surgical extirpation was carried out in 2 cases (2.8) to arrest the epistaxis Conclusion: Although epistaxis is a common otorhinolaryngological emergency and varied in its manifestation; it affects mainly the young peoplein this environment with idiopathic; trauma; and hypertension being the common causes which are amendable to treatment with excellent results
Subject(s)
Epistaxis/diagnosis , Epistaxis/etiology , Epistaxis/therapy , ReviewABSTRACT
In this communication we present the aetiological pattern of epistaxis in 298 patients seen at the Komfo Anokye Teaching Hospital (KATH); Kumasi; Ghana. All cases of epistaxis in patients of all ages in a 9 year period between January 1979 and December 1987 at the ENT unit are reviewed. Pregnant women with more than one episode of epistaxis seen at the antenatal clinic at University Hospital; Kumasi; were also included in this study. There were a total of 298 patients; out of which 51 needed admission. The mean length of stay in hospital was 7 days. The aetiology of epistaxis remains largely idiopathic with 65 per cent originating from Little's area. The role of sickle cell disease/trait in epistaxis in the tropics is emphasised
Subject(s)
Anemia , Epistaxis/etiology , MeningitisABSTRACT
In this communication we present the aetiological pattern of epistaxis in 298 patients seen at the Komfo Anokye Teaching Hospital (KATH); Kumasi; Ghana. All cases of epistaxis in patients of all ages in a 9 year period between January 1979 and December 1987 at the ENT unit are reviewed. Pregnant women with more than one episode of epistaxis seen at the antenatal clinic at University Hospital; Kumasi; were also included in this study. There were a total of 298 patients; out of which 51 needed admission. The mean length of stay in hospital was 7 days. The aetiology of epistaxis remains largely idiopathic with 65 per cent originating from Little's area. The role of sickle cell disease/trait in epistaxis in the tropics is emphasised