This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Keith R. Jackson, MD; Richard T. Jackson, PhD

Arch Otolaryngol Head Neck Surg. 1988;114(8):862-865.

Abstract
• This study addresses the underlying causes responsible for the severity and persistence of active, refractory epistaxis. Seventy-five patients referred because of treatment failure by primary care physicians showed hypertension and aspirin and alcohol abuse to be major factors in the refractory nature of their epistaxis. The majority of bleeding was located near the posterior floor of the nasal cavity and just posterior to Kiesselbach's plexus and was only associated with septal deviation, spurring, or mucosal abnormalities in 16 of the 75 patients. Seventeen of 67 outpatients required hospitalization. Standard laboratory tests were often inadequate determinants of etiology. Intractable epistaxis should be a signal for a thorough investigation of factors that influence clotting.

(Arch Otolaryngol Head Neck Surg 1988;114:862-865)

Author Affiliations
From the Division of Otolaryngology, Head and Neck Surgery, Emory University School of Medicine, Atlanta.

Footnotes
Accepted for publication March 28, 1988.

Reprint requests to Division of Otolaryngology, The Emory Clinic, 1365 Clifton Rd, Atlanta, GA 30322 (Dr R. T. Jackson).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Epistaxis: when are coagulation studies justified?
Awan et al.
Emerg. Med. J. 2008;25:156-157.
ABSTRACT | FULL TEXT  

Rigid Endoscopy for the Control of Epistaxis
O'Leary-Stickney et al.
Arch Otolaryngol Head Neck Surg 1992;118:966-967.
ABSTRACT