Management of severe epistaxis in Pyay Civil Hospital

Epistaxis is usually treated by nasal packing and in failed situation by ligation of the feeding artery, there was considerable morbidity and mortality. In 1994, 24 patients had attended ENT clinic Pyay Civil Hospital for epistaxis out of which (8) patients had undergone arterial ligation both external carotid and ethmoidal arteries because of impending shock with severe epistaxis. This short study, more of clinical presentation is aimed to stress the point that in severe form of epistaxis with impending shock, the arterial ligation (both external carotid and ethmoidal arterics) is one of the practical management in the peripheral centers.