Aktuelle Aspekte zur Epistaxis

@article{Folz2008AktuelleAZ,
  title={Aktuelle Aspekte zur Epistaxis},
  author={Benedikt Josef Folz and Martin Christopher Kanne and Jochen Werner},
  journal={HNO},
  year={2008},
  volume={56},
  pages={1157-1166}
}
ZusammenfassungEvidenzbasierte Untersuchungen mit hohem methodologischem Wert zum Thema Epistaxis finden sich in der Literatur nur vereinzelt. Die Analyse dieser Publikationen im Hinblick auf Neuerungen ergab, dass die Notwendigkeit routinemäßiger Gerinnungstests derzeit kontrovers diskutiert wird. Diese sollten nur bei begründetem klinischem Verdacht auf eine Koagulopathie erfolgen. Auch über den blutstillenden Effekt der lokalen Kühlung im Nacken bestehen weiterhin Kontroversen. Die Gabe von… 

Stellenwert von Gerinnungsstörungen bei Patienten mit Epistaxis

TLDR
The prevalence of bleeding disorders in patients with epistaxis is higher than in the general population and a thorough anamnesis is necessary and in cases of doubt additional testing for underlying disorders is recommended.

Rezidivierende Epistaxis bei unklarer Blutungsquelle

TLDR
Angiography was performed on a 66-year-old male patient with recurrent epistaxis on which an arteriovenous malformation in the sphenoid sinus could be identified as the cause of epistaxis and Embolization of afferent vessels successfully reduced the malformation and stopped the bleeding.

Rezidivierende Epistaxis bei nasopharyngealer Raumforderung

Seit 3 Monaten bestehende unklare Epistaxis. HNO-Befund: Endoskopisch zeigte sich eine leicht gefurchte Raumforderungdes Epipharynxmit Blutschlieren tingiert, die Mittellinie überschreitend und bis

Nasenbluten: Fortschritte bei der Therapie

TLDR
Das Nasenbluten (Epistaxis) ist eine der haufigsten Grunde fur eine Notfallbehandlung, dass weltweit ca.

THREAT helps to identify epistaxis patients requiring blood transfusions

TLDR
Patients with severe nosebleeds either from the posterior part of the nose or with known hematologic disorders or traumatic epistaxis should be closely monitored by blood parameter analyses to evaluate the indication for hemotransfusion.

Current Approaches to Epistaxis Treatment in Primary and Secondary Care.

TLDR
The treatment of severe or recurrent epistaxis requires the interdisciplinary collaboration of the primary care physicians, the emergency physician, the practice-based otolaryngologist, and the hospital otolARYngology service.

Blood markers of alcohol use in epistaxis patients

TLDR
It is suggested that a subgroup of epistaxis patients overconsumes alcoholic beverages supporting the idea of alcohol abuse being a risk factor in epistaxis.

Conservative management, a preferred first line method for treatment of epistaxis.

  • M. A. Javed
  • Medicine
    The Professional Medical Journal
  • 2019
TLDR
It is concluded that conservative method of treatment of epistaxis is an effective and safe method and avoids potential complications which can occur due to nasal packing.

Nd:YAG Laser Treatment for Extranasal Telangiectasias: A Retrospective Analysis of 38 Patients with Hereditary Hemorrhagic Telangiectasia and Review of the Literature

TLDR
Nd:YAG laser constitutes a fast, safe and efficient therapeutic modality for the treatment of extranasal telangiectasias and affected predominantly the tongue, facial skin and lips.

References

SHOWING 1-10 OF 62 REFERENCES

Epistaxis-Strategie - Erfahrungen der letzten 360 Hospitalisationen

TLDR
Recurrence was increased with septal perforations and Osler's disease, and localization of the site of bleeding is the first priority and allows treatment of bleeding with bipolar electrocautery.

Natural history and control of epistaxis in a group of German patients with Rendu-Osler-Weber disease.

TLDR
The natural history of epistaxis in German HHT patients is similar to previously described entities from other parts of the world and first clinical signs of HHT may be present at an earlier age than previously thought.

Nd:YAG-Lasertherapie der rezidivierenden Epistaxis bei hereditärer hämorrhagischer Teleangiektasie

TLDR
The Nd:YAG laser is a suitable tool in the treatment of epistaxis in HHT, less traumatic, less painful, and can be repeated multiple times.

Epistaxis after sildenafil.

TLDR
In case 1 of Hicklin et al. the patient had been prescribed amlodipine, this drug is metabolized by the same enzyme (cytochrome p450) and could therefore affect the pharmacokinetics of sildenafil, rendering haemorrhage more likely.

Die Siebbeinoperation zur Therapie der rezidivierenden Epistaxis gravis

TLDR
The endoscopic ethmoidectomy is an efficient therapy of intractable epistaxis from the ethmoidal arteries if systemic coagulopathy and arterial hypertonia are excluded.

Epistaxis: anatomical and clinical correlates

  • N. Padgham
  • Medicine
    The Journal of Laryngology & Otology
  • 1990
TLDR
Initial examination of the nose in the acute phase by experienced personnel is suggested, to reduce admissions and avoid nasal packing, because point sources of bleeding are not well recognized and are easily overlooked.

Control of Epistaxis in Patients with Hereditary Hemorrhagic Telangiectasia

TLDR
Although no therapy completely resolves the epistaxis, laser therapy combined with septodermoplasty enables the patients to gain excellent control of the epist axis for several years.

Hereditary Hemorrhagic Telangiectasia: What the Otolaryngologist Should Know

TLDR
The diagnosis, screening, treatment, and molecular genetics of HHT will be discussed, and the experience with 20 patients treated with the Nd:YAG laser for recurrent epistaxis will be reviewed.

Routine coagulation screening in the management of emergency admission for epistaxis – is it necessary?

TLDR
The view that there does not appear to be a role for routine coagulation studies in patients admitted with epistaxis is supported and the investigation for potential haemostatic disorders should be performed when clinically indicated and, if necessary, in consultation with the haematology service.
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