Salcan Ismail, Olgun Abdulkerim
Department of Ear Nose and Throat, Erzincan University School of Medicine, Mengucek Training and Research Hospital, Erzincan, Turkey.
Department of Plastic Reconstructive and Aesthetic Surgery, Ataturk University School of Medicine, Erzurum, Turkey.
Eurasian J Med. 2020 Jun;52(2):136-138. doi: 10.5152/eurasianjmed.2020.19222. Epub 2019 Jul 29.
The aim of our study is to introduce the relationship between epistaxis and anatomical variations and present the current treatment approach.
Forty-five patients (28 males and 17 females) that presented to otorhinolaryngology clinics at Mengucek Gazi Training and Research Hospital with pre-diagnosed epistaxis between October 2018 and April 2019 were included in the study. Age, sex and structural causes and anatomical localization of epistaxis in patients were analysed.
The median age of the patients was 42, ranging from 20 to 60 years. Focus of bleeding was observed on the right in 16 cases (35.5%), left in 14 cases (31.1%) and bilateral in nasal cavity in 15 cases (33.3%). Bleeding was from the anterior septum in front of the maxillary ostium line. Anatomical variations were seen in 31 patients (68.8%) (septal deviation in 12, septal perforation in two, and concha hypertrophy in 17).
Epistaxis is one of the most common ear, nose, and throat emergencies. Etiological reasons must be analysed for the treatment to be effective.
本研究旨在介绍鼻出血与解剖变异之间的关系，并阐述当前的治疗方法。
纳入2018年10月至2019年4月期间前往门古切克·加齐培训与研究医院耳鼻喉科门诊就诊、已预先诊断为鼻出血的45例患者（28例男性和17例女性）。分析患者的年龄、性别、鼻出血的结构原因及解剖定位。
患者的中位年龄为42岁，年龄范围在20至60岁之间。观察到16例（35.5%）患者的出血部位在右侧，14例（31.1%）在左侧，15例（33.3%）在鼻腔双侧。出血部位在上颌窦口线前方的鼻中隔前部。31例（68.8%）患者存在解剖变异（12例鼻中隔偏曲，2例鼻中隔穿孔，17例鼻甲肥大）。
鼻出血是耳鼻喉科最常见的急症之一。为使治疗有效，必须分析其病因。
