Manejo de epistaxis posterior en el Hospital Clínico de la Universidad de Chile entre los años 2013 y 2016

Daniel R Retuert; David D Fuentealba; Andrea I Bretón; Lara L Ricci; Rodolfo S Nazar; Alfredo G Naser

Keywords: epistaxis, endoscopic ligation, cirugía endoscópica nasal, epistaxis posterior, posterior epistaxis, ligadura endoscópica arteria esfenopalatina, sphenopalatine, nasal endoscopic surgery

Abstract

ABSTRACT Introduction: Epistaxis corresponds to one of the most frequent causes of otorhinolaryngological consultation in the emergency services. Posterior epistaxis is less frequent but more severe. There are several therapeutic alternatives, in recent decades the surgical endoscopic management of the sphenopalatine artery (AEP) has been increasing given the advantages in comfort for the patient and reduction of associated costs. Aim: To review the management of posterior epistaxis in the Clinical Hospital of the University of Chile (HCUCh). Material and method: Descriptive study in the Otorhinolaryngology Service of the HCUCh of patients who presented posterior epistaxis between the years 2013 and 2016. Results: A total of 33 cases were reviewed. The mean age of the patients was 61.6 years, with the most frequent comorbidities being hypertension (36.3%) and atrial fibrillation (18.1%). Surgical treatment was performed in 57.6% of the patients, with AEP clipping being the most frequent surgical intervention. Conclusion: Both traditional management and surgical techniques presented similar efficacy in the revised series.

Más información

Título según SCIELO: Manejo de epistaxis posterior en el Hospital Cl�nico de la Universidad de Chile entre los a�os 2013 y 2016
Título de la Revista: REVISTA DE OTORRINOLARINGOLOGIA Y CIRUGIA DE CABEZA Y CUELLO
Volumen: 77
Número: 4
Editorial: Sociedad Chilena de Otorrinolaringología, Medicina y Cirugía de Cabeza y Cuello
Fecha de publicación: 2017
Página de inicio: 389
Página final: 394
Idioma: es
DOI:

10.4067/S0718-48162017000400389

Notas: SCIELO