Management of epistaxis in the oral and maxillofacial surgery setting: An update on current practice.
Epistaxis is a common and, in most cases, benign event. Although most nosebleeds resolve spontaneously, some may be profuse and life-threatening. Severe or recurrent epistaxis can be a challenging management problem. In otolaryngologic practice, it is the most commonly seen emergency. Oral and maxillofacial surgeons will also encounter this clinical problem in varied settings. It is our aim to present an update on the contemporary management of epistaxis in maxillofacial practice. The etiology and relevant surgical anatomy are discussed. This is followed by an update on current treatment regimens in different scenarios. A stepwise algorithm for the management of epistaxis is presented.
Mahmood
Shaukat
S
Oral and Maxillofacial Surgery, West of Scotland Oral and Maxillofacial Surgery Service, Glasgow. shaukat@dr.com
Lowe
Terrence
T
D000465:Algorithms; D003663:Decision Trees; D004844:Epistaxis / Q000209:etiology / Q000628:therapy*; D006489:Hemostatic Techniques; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008446:Maxillofacial Injuries / Q000150:complications; D009666:Nose / Q000098:blood supply; D019647:Oral Surgical Procedures / Q000009:adverse effects