Abstract
Epistaxis is common. At least 60% of us will have episodes of nose bleeding at some time [2]. These occur with peak incidences in children (<10 years) and older adults (>50 years). Only 6% of episodes require medical treatment, and these are usually in the older age group. Bleeding can arise from veins, arteries or arterialised veins (e.g. associated with a vascular malformation or an arteriovenous shunt). Most episodes are idiopathic, though epistaxis in adults is frequently associated with systemic hypertension and other medical comorbidities.
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Notes
- 1.
If present the mandibular artery gives a branch which anastomoses with the Vidian artery and supplies the sphenoid sinus. Its inferior branch anastomoses with the inferior Eustachian branch of the accessory meningeal artery and the Eustachian branch of the APA and pterygovaginal arteries, i.e. at the anastomosis around the Eustachian meatus (see Tutorial 7).
References
Sokoloff J, Wickbom I, McDonald D, Brahme F, Goergen T, Goldberge L. Therapeutic percutaneous embolization in intractable epistaxis. Radiology. 1974;111:285–7.
Small M, Murray J, Maran A. Study of patients with epistaxis requiring admission to hospital. Health Bull. 1982;40:20–9.
Chiu TW, Shaw-Dunn J, McGarry GW. Woodruff’s plexus. J Laryngol Otol. 2008;122:1074–7.
Shah RK, Dhingra JK, Shapshay SM. Hereditary hemorrhagic telangiectasia: a review of 76 cases. Laryngoscope. 2002;112(5):767–73.
Oguni T, Korogi Y, Yasunaga T, Sadanaga T, Uozumi H, Kawanaka K, Sumi S, Takahashi M. Superselective embolisation for intractable idiopathic epistaxis. Br J Radiol. 2000;73(875):1148–53.
Tseng E, Narducci C, Willing S, Sillers M. Angiographic embolization for epistaxis: a review of 114 cases. Laryngoscope. 1998;108(4):615–9.
Elden L, Montanera W, Terbrugge K, Willinsky R, Lasjaunias P, Charles D. Angiographic embolization for the treatment of epistaxis: a review of 108 cases. Otolaryngol Head Neck Surg. 1994;111(1):44–50.
Christensen NP, Smith DS, Barnwell SL, Wax MK. Arterial embolization in the management of posterior epistaxis. Otolaryngol Head Neck Surg. 2005;133(5):748–53.
Fukutsuji K, Nishiike S, Aihara T, Uno M, Harada T, Gyoten M, Imai S. Superselective angiographic embolization for intractable epistaxis. Acta Otolaryngol. 2008;128(5):556–60.
Strong EB, Bell DA, Johnson LP, Jacobs JM. Intractable epistaxis: transantral ligation vs. embolization: efficacy review and cost analysis. Otolaryngol Head Neck Surg. 1995;113(6):674–8.
Upile T, Jerjes W, Sipaul F, El Maaytah M, Nouraei S, Singh S, Hopper C, Wright A. The role of surgical audit in improving patient management; nasal haemorrhage: an audit study. BMC Surg. 2007;7:19.
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© 2012 Springer-Verlag Berlin Heidelberg
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Byrne, J.V. (2012). Embolisation for Epistaxis. In: Tutorials in Endovascular Neurosurgery and Interventional Neuroradiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19154-1_16
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DOI: https://doi.org/10.1007/978-3-642-19154-1_16
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