Preliminary study of the role of the nasal endoscopy in the management for posterior epistaxis

Abstract EN

Objective: to evaluate the role and efficaci of the nasal endoscopy for posterior epistaxis.Study Design: prospective study .It was conducted during the period from January 2009 to May 2013.Setting: AL-Madinah Poly-Clinic in AJ.-Mukalla city of Ye men.

Patients dnd Methods: Fifteen (15) patients with posterior epistaxis were subjected to management by nasal endoscopy.

Eleven(ll) patients were managed successfully by nasal endoscopic cauterization.while 3 patients were failed and managed by anterio-posterior nasal packing and one patient was managed by ligation of sphenopalatinal artery.

All cauterizations were done under general anaesthesia by o and 30 4mm nasal endoscopy, suction cautery and 22 gauge spinal needle.

Data collected and analyzed.

Resu/ts.-'ITie most affected age groups were 51-60 and >60 years and female more affected.

The most causes for posterior epistaxis were arteriosclerosis and hypertension (40%).

The most applied treatment was cauterization (73.33%) .Conclusion:The nasal endoscopic cauterization is recommended as the first line of the management for posterior epistaxis in order to avoid the possible, dangerous complications of nasal packing and to find the underlying pathology.