Eighty-five admissions for posterior epistaxis were reviewed, and treatment with posterior packs was compared with surgical ligation. The failure rates (26.2% vs 14.3%), complication rates (68.8% vs 40%), and length of hospitalization (7.8 days vs 5.6 days) all favor surgical ligation as the definitive treatment for posterior epistaxis.
Get full access to this article
View all access options for this article.
References
1.
LingemanRE: Epistaxis. Am Fam Physician14: 78–83, 1976.
2.
HaraHJ: Severe epistaxis. Arch Otolaryngol75: 258–269, 1962.
3.
JuseliusH: Epistaxis: A clinical study of 1,724 patients. J Laryngol Otol88: 317–327, 1974.
4.
PierceDLChasinWD: Treatment of epistaxis. N Engl J Med267: 660–661, 768–771, 1962.
MontgomeryWM: Surgery of the Upper Respiratory System, ed 2. Philadelphia, Lea & Febiger, 1979, pp 321–337.
7.
ChandlerJRSerrinsAJ: Transantral ligation of the internal maxillary artery for epistaxis. Laryngoscope75: 1151–1159, 1965.
8.
HerzonFS: Bacteremia and local infections with nasal packing. Arch Otolaryngol94: 317–320, 1971.
9.
RosnagleRSYanagisawaESmithHW: Specific vessel ligation for epistaxis: Survey of 60 cases. Laryngoscope83: 517–525, 1973.
10.
BeckerGD: Posterior nasal packing, spontaneous perforation of the esophagus and gram-negative septicemia: Report of a case. Laryngoscope83: 1828–1833, 1973.
11.
CassisiNJBillerHFOguraJH: Changes in arterial oxygen tension and pulmonary mechanics with the use of posterior packing in epistaxis: A preliminary report. Laryngoscope81: 1261–1266, 1971.
12.
HeywoodBBDavidRBYonkersAJ: Treatment of epistaxis with porcine stripped packing. Trans Am Acad Ophthalmol Otolaryngol82: 255–260, 1976.
13.
BartonCLRayJW: Fixation of Foley catheter against external naris. Arch Otolaryngol92: 281, 1970.
14.
BellMHawkeMJohnA: New device for the management of postnasal epistaxis by balloon tamponade. Arch Otolaryngol99: 372–374, 1974.
15.
KamerFMParkesML: An Absorbent, non-adherent nasal pack. Laryngoscope85: 384–388, 1975.
16.
PadrnosRE: A method for control of posterior nasal hemorrhage. Arch Otolaryngol87: 181–183, 1968.
17.
StrotherCMNewtonTH: Percutaneous embolization to control epistaxis in Rendu-Osler-Weber disease. Arch Otolaryngol102: 58–60, 1976.
18.
HicksJN: Cryotherapy for severe posterior nasal epistaxis. Laryngoscope81: 1881–1902, 1971.
19.
LofgrenRH: Surgery of the pterygomaxillary fossa. Arch Otolaryngol94: 516–524, 1971.
20.
HunterKGibsonR: Arterial ligation for severe epistaxis. J Laryngol Otol83: 1099–1103, 1969.
21.
AllenGW: Ligation of the internal maxillary artery for epistaxis. Laryngoscope80: 915–923, 1970.
22.
PearsonBWMacKenzieRGGoodmanWS: The anatomical basis of transantral ligation of the maxillary artery in severe epistaxis. Laryngoscope79: 969–984, 1969.
23.
KirchnerJAYanagisawaECrelinES: Surgical anatomy of the ethmoidal arteries. Arch Otolaryngol74: 382–386, 1961.
24.
WeissNS: Relation of high blood pressure to headache, epistaxis, and selected other symptoms. N Engl J Med287: 631–633, 1972.
25.
PetrusonBRudinRSvardsuddK: Is high blood pressure an aetiological factor in epistaxis?ORL39: 155–160, 1977.
26.
QuinnFB: Surgical treatment of nasal hemorrhage. Arch Otolaryngol72: 734–742, 1961.
27.
MalcolmsonKG: The surgical management of massive epistaxis. J Laryngol Otol77: 299–314, 1963.
28.
JohnsonLPParkinJL: Blindness and total ophthalmoplegia. Arch Otolaryngol102: 501–504, 1976.
29.
ProcinoND: Treatment of posterior epistaxis. Ear Nose Throat J57: 305–309, 1978.
30.
BallengerJJ: Diseases of the Nose, Throat and Ear, ed 12. Philadelphia, Lea & Febiger, 1977, pp 95–97.
