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.
Computed tomography findings in patients with primarily unknown causes of severe or recurrent epistaxis
TLDR
For patients with unknown causes of epistaxis, supplementary CT imaging may be a useful diagnostic add-on to rhinoscopy in the event of RE, tumour suspicion or inflammation of the paranasal sinuses, however, in most cases of first-time SE, CT does not necessarily add to the diagnosis.
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.
Combined therapy for epistaxis by hereditary hemorrhagic teleangiectasia: A 3-year follow up study on 45 patients.
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References

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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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