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• W2504959632 abstract "<b><i>Aim:</i></b> This study reviews our clinical experience of patients with epistaxis and discusses proper management. <b><i>Patients and Methods:</i></b> We retrospectively investigated 1,515 patients with epistaxis treated in our department between 2005 and 2010. <b><i>Results:</i></b> Men over 50 years old predominated. More than half of the patients (n = 828) first visited after consultation hours, and 40% (n = 606) were brought by ambulance. The most common underlying diseases were circulatory diseases (69%, n = 1,047). Antithrombotics were being administered to 23% (n = 345). Kiesselbach's plexus was the most commonly observed bleeding site (51%, n = 769). In 20% (n = 297), no bleeding point was confirmed because hemostasis had been achieved on arrival. Anterior packing was the most common primary treatment, followed by electrocauterization. Hospitalization was required in 2% (n = 30). Re-bleeding occurred within 14 days after primary treatment in 14% (n = 206). Surgical treatment was performed for 5% (n = 11). <b><i>Conclusions:</i></b> Patients showing repeated pulsatile arterial bleeding require hospitalization for surgical therapy, although outpatient therapy is sufficient in most cases. A risk of re-bleeding should be considered if patients show unclarified bleeding points and circulatory diseases." @default.
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• W2504959632 date "2016-01-01" @default.
• W2504959632 modified "2023-10-01" @default.
• W2504959632 title "Clinical Study of 1,515 Patients Presenting with Epistaxis Over the Last 6 Years" @default.
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• W2504959632 doi "https://doi.org/10.1159/000446187" @default.
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