THE CLINICAL FEATURES AND CAUSES OF NON-TRAUMATIC EPISTAXIS IN ADULTS COMBINED WITH DIAGNOSTIC NASAL ENDOSCOPY

Tóm tắt

Introduction: There is a paucity of data regarding the usage of endoscopy in the diagnosis and treatment of epistaxis. The objective of this study is to describe the clinical characteristics and to investigate the causes of non-traumatic epistaxis in adults using the diagnostic nasal endoscopy.
Material and methods: A cross-sectional study was conducted involving above 66 patients aged ≥ 18 years old with non-traumatic epistaxis diagnosed by a nasal endoscopy performed at the Ho Chi Minh city Ear, Nose and Throat hospital.
Results:We found that male patients accounted for 71.2% of the epistaxis. The most common age range was from 42 to 54 years old (34.85%). A majority of patients Most patients had no warning symptom (60.6%). We found that 71.21% of the patients had unilateral epistaxis. Furthermore, most of the epistaxis happened during the day (90.9%).
We observed that 33.33% of the patients with epistaxis had hypertension. Furthermore, 72% of the patients with a history of hypertension require non-invasive treatment. We found that 92% of hypertensive patients with a visible bleeding site were diagnosed by endoscopy.
Conclusion: Nasal endoscopy is a valuable and effective tool not only in localizing epistaxis but also in treating non-traumatic epistaxis.