OBJECTIVES/HYPOTHESIS To assess the efficacy of a novel high-fidelity epistaxis simulator in teaching epistaxis management to junior otolaryngology head and neck surgery residents. STUDY DESIGN Prospective cohort study. METHODS A novel high-fidelity epistaxis task trainer was developed using a cadaver head, intravenous tubing, and a food coloring-filled saline bag to emulate blood. Learners...

Tamponade treatment in epistaxis is painful and the patient needs hospitalisation. Irrigation with hot water was introduced as a treatment of epistaxis 100 years ago. This study compares the two treatments with respect to effect, recurrence, pain, and length of hospital stay. Forty-four consecutive patients with posterior epistaxis were randomized to receive treatment with either hot water (HWI...

EDWINA LAWSON, KATHARINE BOND, DUNCAN CHURCHILL, KAREN WALKER-BONE Department of Genitourinary Medicine, Royal Sussex County Hospital, Brighton and Brighton and Sussex Medical School, Euan Keat Education Centre, Princess Royal Hospital, Haywards Heath, UK Accepted 22 December 2008 Correspondence to: Karen Walker-Bone, Euan Keat Education Centre, Princess Royal Hospital, Lewes Road, Haywards Hea...

A case of severe arterial epistaxis treated by transantral ligation of the maxillary artery is reported. A 66-year-old woman had recurrent left sided epistaxis from the posterior nasal cavity which was difficult to control by conventional nasal packing methods. Selective angiography was performed to identify the arterial flow patterns and site of bleeding which was confirmed to be the descendin...

OBJECTIVES/HYPOTHESIS To examine the incidence of epistaxis as a function of season and age and to determine predictors of episodes within the epistaxis patient population presenting to a tertiary hospital system. STUDY DESIGN Retrospective cohort study. METHODS Electronic medical record charts of patients presenting to the Northwestern Emergency Department, admitted to an inpatient ward, o...

BACKGROUND Epistaxis is a common medical problem in pediatric population. Although in most cases it is mild and self-limiting, a proportion of childhood epistaxis is massive, recurrent, or resistant to conventional management. OBJECTIVE To compare effectiveness of propranolol as a treatment option for childhood epistaxis versus conventional silver nitrate cautery. STUDY DESIGN AND METHODOLO...

OBJECTIVE To report the incidence and risk factors associated with delayed epistaxis (2-8 days after the procedure) after external dacryocystorhinostomy (DCR). DESIGN We identified and analyzed all cases of patients who underwent external DCR procedures at 2 institutions from January 1999 through December 2005. Cases of delayed epistaxis and their final surgical outcome were compared with tho...

BACKGROUND The purpose of this study was to investigate the efficacy of bevacizumab ("Avastin") for the treatment of epistaxis in hereditary hemorrhagic telangiectasia (HHT). METHODS In this double blind, placebo controlled trial, 15 adult patients with HHT with a minimum of 2 epistaxis episodes per week were randomized. A history of thromboembolic events or recent or planned surgery led to e...