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The distribution of bleeding sites in idiopathic hidden arterial epistaxis

Published online by Cambridge University Press:  01 April 2019

Z-C Lou  and
Z-H Lou
Z-C Lou*
Affiliation:
Department of Otorhinolaryngology, Affiliated Yiwu Hospital of Wenzhou Medical University, Zhejiang, China
Z-H Lou
Affiliation:
Department of Clinical Medicine, Xinxiang Medical University, Henan, China
*
Author for correspondence: Dr Zhen-Cai Lou, Department of Otorhinolaryngology, Affiliated Yiwu Hospital of Wenzhou Medical University, 699 Jiangdong Road, Yiwu, Zhejiang 322000, China E-mail: [email protected] Fax: +86 0579 5209 678
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Abstract

Objective

To determine the frequency distribution of bleeding sites in idiopathic hidden arterial epistaxis.

Methods

In this retrospective cohort study, 107 patients with hidden arterial epistaxis were endoscopically examined for sites of bleeding.

Results

All sites of hidden arterial epistaxis were identified by endoscopic examination. Bleeding sites were identified at initial surgery in 103 patients and during the second surgery in 4. The bleeding sites included: the olfactory cleft region in 47 patients, the inferior meatus region in 29, the middle meatus region in 11, multiple bleeding sites (olfactory cleft and anterior septum) in 3, the anterior roof of the nasal cavity in 4, the nasal floor in 11 and the nasopharynx in 2. The bleeding points showed a white or red volcano-like bump in 75 patients, isolated prominent telangiectasia in 21 and mucosal ulceration in 11.

Conclusion

Common sites of hidden arterial epistaxis include the olfactory cleft, inferior meatus and middle meatus. However, there should be awareness of some uncommon bleeding sites (including the anterior roof of the nasal cavity, the nasal floor and the nasopharynx) and of multiple bleeding sites.

Keywords

EpistaxisNasal CavityAirflowOlfactory
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 4 , April 2019 , pp. 309 - 312
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr Z-C Lou takes responsibility for the integrity of the content of the paper

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