title: Treatment Options for Severe Epistaxis, the Experience of Coltea ENT Clinic.
abstract: OBJECTIVE
  The study presents the experience of the Coltea ENT Clinic with the most common emergency in ENT pathology.
  
  
  RESULTS
  The study group comprises 51.24% women and 48.76% men with 73.14% of patients (177) coming from urban areas and the remaining 26.86% (65) from rural areas. The total number of days of hospitalization is 1411, representing an average of 5.83 days / patient. Epistaxis was anterior in 80.17% of cases (194 patients) and antero-posterior in 19.83% (48 patients). 132 patients, representing 54.55% presented elevated blood pressure whereas liver and hematological disorders are uncommon etiologies. Therapeutic interventions are mostly non-surgical 207 (85.54%), the remaining 35 cases (14.46%), requiring surgery.
  
  
  CONCLUSIONS
  Epistaxis associated with high blood pressure is found in 54.55% of the study group. In 38.02% of cases the etiology cannot be determined. Pluri-factorial etiology is common. The most difficult to control were the cases with epistaxis of hepatic etiology, in which cases the surgical solution was required.
authors.affiliation: Department of ENT, Coltea Clinical Hospital, Bucharest, Romania.
authors.forename: Alina Georgiana
authors.initials: AG
authors.lastname: Anghel
authors.affiliation: Department of ENT, Coltea Clinical Hospital, Bucharest, Romania.
authors.forename: Cristian Costin
authors.initials: CC
authors.lastname: Soreanu
authors.affiliation: Department of ENT, Coltea Clinical Hospital, Bucharest, Romania.
authors.forename: Mihai
authors.initials: M
authors.lastname: Dumitru
authors.affiliation: Department of ENT, Coltea Clinical Hospital, Bucharest, Romania.
authors.forename: Ion
authors.initials: I
authors.lastname: Anghel
keywords: gonarthrosis; high tibial osteotomy; tibial slope