Surgical management of intractable epistaxis: audit of results.

摘要: We have audited our results after changing the management practice in patients with intractable epistaxis. These are offered trans-nasal endoscopic sphenopalatine artery diathermy or without anterior ethmoid instead of conventional surgical procedures. During first year change practice, 145 were treated as inpatients for Ten (seven per cent) required a procedure under general anaesthesia due to recurrent nature bleeding. All 10 had diathermy, whereas four was also performed concurrently. The post-operative hospital stay ranged from one three days (mean 2.1 days). mean follow-up months. epistaxis recurred patient and this managed conservatively. There no complications related surgery. In previous year, 132 admitted eight procedures, which included septoplasty, nasal packing external carotid ligation. six 3.9 Our audit shows that is safe, successful effective option refractory morbidity reduced shortened. can be combined surgery, when necessary.