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Introduction: Epistaxis is one of the most common encountered otolaryngologic emergency and affects up to 60% of the population in their lifetime, of which 6% require medical attention. This study was done to find out the relationship between general diseases and the occurrence of epistaxis and to evaluate the methods required to manage bleeding from the nose. Materials and methods: Cases were taken for this study from various indoor and outpatient departments of N.S.C.B Medical College and Hospital Jabalpur from October 2013 till September 2014. Detailed history, clinical information was noted for all patients. All included patients underwent investigations as ordered by their doctor, and relevant clinical examinations were performed. Data was analyzed using appropriate statistical methods. Results: In this study, maximum number of subjects had bleeding from both nares followed by left and right nares respectively. Deviation to left was more common in this study with not much significant difference between the two sides. Tumors of nose (17.78%) were the most common associated disease in this study followed by hypertension (13.3%), diabetes mellitus was associated with 6.67% of subjects. 11.11% patients had nasal bone fracture and 11.11% of patients had enlarged external framework of nose mainly due to nasal masses. Most commonly used modality was anterior nasal packing in 40% cases, followed by surgery in 35.56% cases. Conclusions: These results illustrate the relation of epistaxis with past medical history, duration of bleeding. More research is required to understand the management patterns in different geographical locations.
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Objectives To explore a comprehensive approach for the functional and aesthetic correction of septal deviation. Methods From Jan. 2007 to Dec. 2009, 48 patients with deviation of the frontier and ceiling border of the septal cartilage, 6 males, 42 females, average age of 26.5 years, were surgically treated with a comprehensive use of several techniques, such as septoplasty, reconstruction of septal support, precise osteotomies and nasal tip plasty. Results Functional improvement achieved in all the patients, contour satisfaction achieved in 91.7 % patients; 30 patients were very satisfied, and 14 satisfied with the outcome. Conclusions With the thorough understanding of surgical anatomy of the nose and the use of comprehensive surgical approach, satisfactory outcomes can be achieved both functionally and aesthetically in patients with septal deviation.