Epistaxis Other Imaging Findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: José Eduardo Riceto Loyola Junior, M.D.[2]
Overview
Rhinoscopy and nasal endoscopy may be helpful in the diagnosis of epistaxis. It can help assessing the source of bleeding, distinguishing between anterior and posterior epistaxis, and also help in the treatment.
Other Imaging Findings
Rhinoscopy
- It can be performed after removal of blood clots from the nasal cavity, using a nasal speculum and headlight.[1]
- The application of a vasoconstrictor associated with a local anesthetic in an impregnated cotton tuft will enable a better view and also allow for treatment of the bleeding.[1]
- One limitation is that rhinoscopy offers a very limited view of the nose and the possible source of bleeding in comparison to the endoscopy.[1]
Nasal endoscopy
- Nasal endoscopy may be helpful in the diagnosis of epistaxis. Findings on an nasal endoscopy diagnostic of epistaxis include bleeding from:[2]
- Crevices of the lateral nasal wall
- Posterior spur on the nasal septum
- Posterior deviation of the nasal septum with ulcer
- Congested polyps
- Enlarged and congested adenoids
- Scabs or crusts in the crevices of the lateral nasal wall
- Angiofibroma
- Nasal endoscopy can also help in the treatment, allowing the use of gel foam, endoscopic cautery or diathermy and endoscopic polypectomy.[2]
References
- ↑ 1.0 1.1 1.2 Beck R, Sorge M, Schneider A, Dietz A (2018). "Current Approaches to Epistaxis Treatment in Primary and Secondary Care". Dtsch Arztebl Int. 115 (1–02): 12–22. doi:10.3238/arztebl.2018.0012. PMC 5778404. PMID 29345234.
- ↑ 2.0 2.1 Kumar M V V, Prasad K U R, Gowda P R B, S R M, P K C (2013). "Rigid nasal endoscopy in the diagnosis and treatment of epistaxis". J Clin Diagn Res. 7 (5): 831–3. doi:10.7860/JCDR/2013/4421.2995. PMC 3681049. PMID 23814722.