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Nosulya E.V.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Miroshnichenko S.A.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Luchsheva Yu.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Aleksanyan T.A.

L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology

Ogorodnikov D.S.

Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Epidemiology and modern methods of treatment of non-traumatic nosebleeds

Authors:

Nosulya E.V., Miroshnichenko S.A., Luchsheva Yu.V., Aleksanyan T.A., Ogorodnikov D.S.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2023;88(5): 63‑68

DOI: 10.17116/otorino20238805163

Read: 1656 times

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Table of contents

EPIDEMIOLOGY AND MODERN METHODS OF TREATMENT OF NON-TRAUMATIC NOSEBLEEDS
EPIDEMIOLOGY AND MODERN METHODS OF TREATMENT OF NON-TRAUMATIC NOSEBLEEDS

To cite this article:

Nosulya EV, Miroshnichenko SA, Luchsheva YuV, Aleksanyan TA, Ogorodnikov DS. Epidemiology and modern methods of treatment of non-traumatic nosebleeds. Russian Bulletin of Otorhinolaryngology. 2023;88(5):63‑68. (In Russ.)
https://doi.org/10.17116/otorino20238805163

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)
 
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Abstract:

Data on the detection incidence of nosebleeds (NBs) of non-traumatic origin in the population show considerable variability in statistical indicators, and NBs treatment and consequences depend on the localization of hemorrhage source, the volume of blood loss, patient’s general condition, the presence and nature of comorbid pathology and a number of other factors. There are some differences in the choice of NBs treatment options, evaluation of their clinical and economic efficiency, which indicates the need to analyze and systematize the results of such studies.

OBJECTIVE

To analyze data on prevalence and current treatment approaches of non-traumatic nosebleeds.

MATERIAL AND METHODS

The search for publications (articles and related abstracts) on the subject of the study, presented in the PubMed database, has been conducted. The choice of material was made according to the following key words: non-traumatic nosebleeds, causes, incidence, methods of stopping nosebleeds.

RESULTS

The literature data show a significant prevalence of NBs in the population, their potential hazard to the life of patient and the importance of clinical and demographic characteristics of persons for determining treatment tactics in each case. In practical terms, primary and secondary NBs should be distinguished. In case of primary NB, the use of coagulation and nasal packing is recommended after determining the place of bleeding. In secondary NB it is necessary to establish its cause in order to assess risk factors and apply appropriate topical or systemic drug therapy. The so-called difficult (difficult-to-treat) NBs deserve special attention. As a rule, these cases involve bleeding from the posterior parts of nose. The analysis of publications shows a high (90%) efficacy of surgical interventions, used as first-line treatment. Effectiveness of embolization in such cases was 75% and of anterior/posterior nasal packing was 62%.

CONCLUSION

The literature data show a significant prevalence of nosebleeds in the population and their potential hazard to the life of patient. The existing differences in the assessments of treatment options for this pathology, their clinical and economic efficiency are the basis for further research, in particular, to clarify the causes of nosebleeds’ occurrence and recurrence, the impact of treatment methods on quality of patients’ life.

Keywords:

non-traumatic nosebleeds
causes
incidence
methods of stopping nosebleeds

Authors:

Nosulya E.V.

Sverzhevky Research Clinical Institute of Otorhinolaryngology

Miroshnichenko S.A.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Luchsheva Yu.V.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology

Aleksanyan T.A.

L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology

Ogorodnikov D.S.

Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Received:

25.01.2023

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References:

  1. Tunkel DE, Anne S, Payne SC, Ishman SL, Rosenfeld RM, Abramson PJ, Alikhaani JD, Benoit MM, Bercovitz RS, Brown MD, Chernobilsky B, Feldstein DA, Hackell JM, Holbrook EH, Holdsworth SM, Lin KW, Lind MM, Poetker DM, Riley CA, Schneider JS, Seidman MD, Vadlamudi V, Valdez TA, Nnacheta LC, Monjur TM. Clinical Practice Guideline: Nosebleed (Epistaxis). Otolaryngology — Head and Neck Surgery. 2020;162(1 Suppl):1-38.  https://doi.org/10.1177/0194599819890327
  2. Yau S. An update on epistaxis. Australian Family Physician. 2015; 44(9):653-656. 
  3. Benninger MS, Marple BF. Minor recurrent epistaxis: prevalence and a new method for management. Otolaryngology — Head and Neck Surgery. 2004;131(3):317-320.  https://doi.org/10.1016/j.otohns.2004.05.009
  4. Béquignon E, Teissier N, Gauthier A, Brugel L, De Kermadec H, Coste A, Prulière-Escabasse V. Emergency department care of childhood epistaxis. Emergency Medicine Journal: EMJ. 2017;34(8):543-548.  https://doi.org/10.1136/emermed-2015-205528
  5. Schlosser RJ. Clinical practice. Epistaxis. New England Journal of Medicine. 2009;360(8):784-789.  https://doi.org/10.1056/NEJMcp0807078
  6. Reis LR, Correia F, Castelhano L, Escada P. Epidemiology of epistaxis in the emergency department of a southern European tertiary care hospital. Acta Otorrinolaringologica Espanola. 2018;69(6):331-338.  https://doi.org/10.1016/j.otorri.2017.11.002
  7. Pallin DJ, Chng YM, McKay MP, Emond JA, Pelletier AJ, Camargo CA Jr. Epidemiology of epistaxis in US emergency departments, 1992 to 2001. Annals of Emergency Medicine. 2005;46(1):77-81.  https://doi.org/10.1016/j.annemergmed.2004.12.014
  8. Shay S, Shapiro NL, Bhattacharyya N. Epidemiological characteristics of pediatric epistaxis presenting to the emergency department. International Journal of Pediatric Otorhinolaryngology. 2017;103:121-124.  https://doi.org/10.1016/j.ijporl.2017.10.026
  9. Tomkinson A, Roblin DG, Flanagan P, Quine SM, Backhouse S. Patterns of hospital attendance with epistaxis. Rhinology. 1997;35(3):129-131. 
  10. Kucik CJ, Clenney T. Management of epistaxis. American Family Physician. 2005;71(2):305-311. 
  11. Sengupta A, Maity K, Ghosh D, Basak B, Das SK, Basu D. A study on role of nasal endoscopy for diagnosis and management of epistaxis. Journal of the Indian Medical Association. 2010;108(9):597-598, 600-601. 
  12. Pollice PA, Yoder MG. Epistaxis: a retrospective review of hospitalized patients. Otolaryngology — Head and Neck Surgery. 1997;117(1):49-53. PMID: 9230322. https://doi.org/10.1016/S0194-59989770205-5
  13. Viehweg TL, Roberson JB, Hudson JW. Epistaxis: diagnosis and treatment. Journal of Oral and Maxillofacial Surgery. 2006;64(3):511-518.  https://doi.org/10.1016/j.joms.2005.11.031
  14. Sethi RKV, Kozin ED, Abt NB, Bergmark R, Gray ST. Treatment disparities in the management of epistaxis in United States emergency departments. Laryngoscope. 2018;128(2):356-362.  https://doi.org/10.1002/lary.26683
  15. Plavunov NF, Kryukov AI, Kadyshev VA, Sidorov AM, Artemieva-Karelova AV, Kolbanova IG, Gorovaya EV, Kishinevskii AE, Gunina MV, Vershinina EA, Tsarapkin GYu. Epidemiologiya spontannykh krovotechenij iz nosa, ukha i gorla. Vestnik otorinolaringologii. 2021;86(4):31-35. (In Russ.). https://doi.org/10.17116/otorino20218604131
  16. Chaaban, MR, Zhang, D, Resto, V, Goodwin, JS. Demographic, seasonal, and geographic differences in emergency department visits for epistaxis. Otolaryngology — Head and Neck Surgery. 2017;156(1):81-86.  https://doi.org/10.1177/0194599816667295
  17. Gryazina NV. Optimizatsiya organizatsii ekstrennoj otorinolaringologicheskoj pomoshchi vzroslomu naseleniyu v mnogoprofil’nom statsionare v usloviyakh krupnogo promyshlennogo goroda: Diss. ... kand. med. nauk. SPb; 2007. (In Russ.).
  18. Tsarapkin GYu, Kryukov AI, Plavunov NF, Kunelskaya NL, Timofeeva MG, Artemieva-Karelova AV, Gorovaya EV, Gunina MV, Ulanova AS. Approksimatsionnyj analiz v izuchenii epidemiologii epistaksisa. Vestnik otorinolaringologii. 2021;86(4):67-72. (In Russ.). https://doi.org/10.17116/otorino20218604167
  19. Gorbunov AV, Dubinets ID. Structure of urgent and planned ent-aid in Chelyabinsk. Zdorov’e i obrazovanie v XXI veke. 2017;19(2):57-58. (In Russ.).
  20. Cooper SE, Ramakrishnan VR. Direct cauterization of the nasal septal artery for epistaxis. Laryngoscope. 2012;122(4):738-740.  https://doi.org/10.1002/lary.23225
  21. Viducich RA, Blanda MP, Gerson LW. Posterior epistaxis: clinical features and acute complications. Annals of Emergency Medicine. 1995;25(5):592-596.  https://doi.org/10.1016/s0196-0644(95)70169-9
  22. Yüksel A, Kurtaran H, Kankiliç ES, Ark N, Uğur KS, Gündüz M. Epistaxis in geriatric patients. Turkish Journal of Medical Sciences. 2014;44(1):133-136.  https://doi.org/10.3906/sag-1301-58
  23. Ho EC, Mansell NJ. How we do it: A practical approach to Foley catheter posterior nasal packing. Clinical Otolaryngology and Allied Sciences. 2004;29(6):754-757.  https://doi.org/10.1111/j.1365-2273.2004.00922.x
  24. INTEGRATE (The UK ENT Trainee Research Network). Nasal Packs for Epistaxis: Predictors of Success. Clinical Otolaryngology. 2020;45(5):659-666.  https://doi.org/10.1111/coa.13555
  25. Rudert H, Maune S. [Endonasal coagulation of the sphenopalatine artery in severe posterior epistaxis]. Laryngorhinootologie. 1997;76(2):77-82.  https://doi.org/10.1055/s-2007-997391
  26. Douglas R, Wormald PJ. Update on epistaxis. Current Opinion in Otolaryngology and Head and Neck Surgery. 2007;15(3):180-183.  https://doi.org/10.1097/MOO.0b013e32814b06ed
  27. Iqbal IZ, Jones GH, Dawe N, Mamais C, Smith ME, Williams RJ, Kuhn I, Carrie S. Intranasal packs and haemostatic agents for the management of adult epistaxis: systematic review. The Journal of Laryngology and Otology. 2017;131(12):1065-1092. https://doi.org/10.1017/S0022215117002055
  28. Metternich FU, Brusis T. [Ethmoid sinus operation for therapy of recurrence severe epistaxis]. Laryngorhinootologie. 1998;77(10):582-586.  https://doi.org/10.1055/s-2007-997030
  29. Melia L, McGarry GW. Epistaxis: update on management. Current Opinion in Otolaryngology and Head and Neck Surgery. 2011; 19(1):30-35.  https://doi.org/10.1097/MOO.0b013e328341e1e9
  30. Christensen NP, Smith DS, Barnwell SL, Wax MK. Arterial embolization in the management of posterior epistaxis. Otolaryngology — Head and Neck Surgery. 2005;133(5):748-753.  https://doi.org/10.1016/j.otohns.2005.07.041
  31. Sadri M, Midwinter K, Ahmed A, Parker A. Assessment of safety and efficacy of arterial embolisation in the management of intractable epistaxis. European Archives of Oto-Rhino-Laryngology. 2006;263(6):560-566.  https://doi.org/10.1007/s00405-006-0010-5
  32. Rudmik L, Smith TL. Management of intractable spontaneous epistaxis. American Journal of Rhinology and Allergy. 2012;26(1):55-60.  https://doi.org/10.2500/ajra.2012.26.3696
  33. Goddard JC, Reiter ER. Inpatient management of epistaxis: outcomes and cost. Otolaryngology — Head and Neck Surgery. 2005;132(5):707-712.  https://doi.org/10.1016/j.otohns.2005.02.001
  34. Klotz DA, Winkle MR, Richmon J, Hengerer AS. Surgical management of posterior epistaxis: a changing paradigm. Laryngoscope. 2002;112(9):1577-1582. https://doi.org/10.1097/00005537-200209000-00008
  35. Baugh TP, Chang CWD. Epidemiology and Management of Pediatric Epistaxis. Otolaryngology — Head and Neck Surgery. 2018;159(4):712-716.  https://doi.org/10.1177/0194599818785898
  36. Badran K, Malik TH, Belloso A, Timms MS. Randomized controlled trial comparing Merocel and RapidRhino packing in the management of anterior epistaxis. Clinical Otolaryngology. 2005;30(4):333-337.  https://doi.org/10.1111/j.1365-2273.2005.01019.x
  37. Kryukov AI, Nosulya EV, Kim IA, Tsarapkin GYu. Occupational rhinitis: actual issues of diagnosis and treatment. Rossijskaya rinologiya. 2020;28(4):222-230. (In Russ.). https://doi.org/10.17116/rosrino202028041222
  38. Plavunov NF, Tsarapkin GYu, Kadyshev VA, Sidorov AM, Khokhlov AA, Gorovaya EV, Kishinevskii AE, Smirnova EN, Gunina MV. Epidemiological factors and routing features of patients with spontaneous nosebleeds. Rossijskaya rinologiya. 2021;29(3):125-133. (In Russ.). https://doi.org/10.17116/rosrino202129031125
  39. Принята к печат21.04.2023 
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