Epistaxis classification: Difference between revisions
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==Overview== | ==Overview== | ||
[[Epistaxis]] | [[Epistaxis]] may be classified according to the anatomical origin of the bleeding into 2 groups: anterior and posterior. It can also be further classified into primary (if idiopathic) or secondary (if there is a known cause) and acute or chronic. | ||
==Classification== | ==Classification== | ||
[[Epistaxis]] can be classified into anterior | ===Classification according to anatomical source=== | ||
[[Epistaxis]] can be classified into anterior and posterior based upon the anatomical source of bleeding<ref name="KrulewitzFix2019">{{cite journal|last1=Krulewitz|first1=Neil Alexander|last2=Fix|first2=Megan Leigh|title=Epistaxis|journal=Emergency Medicine Clinics of North America|volume=37|issue=1|year=2019|pages=29–39|issn=07338627|doi=10.1016/j.emc.2018.09.005}}</ref> | |||
Revision as of 20:13, 29 October 2020
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Epistaxis classification On the Web |
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Risk calculators and risk factors for Epistaxis classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1],Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D.
Overview
Epistaxis may be classified according to the anatomical origin of the bleeding into 2 groups: anterior and posterior. It can also be further classified into primary (if idiopathic) or secondary (if there is a known cause) and acute or chronic.
Classification
Classification according to anatomical source
Epistaxis can be classified into anterior and posterior based upon the anatomical source of bleeding[1]
Anterior-epistaxis:
- Anterior epistaxis is more common, and source of this bleeding is usually Kiesselbach's plexus.
- Anterior epistaxis is easier to control with nasal compression, nasal packing and cautery.
Posterior-epistaxis:
- Posterior bleeding is less common and harder to stop, and source of this bleeding is usually Woodruff's plexus.
- Bleeding from this plexus may cause aspiration and show bleeding with coughing and hemoptysis.
- Posterior rhinoscopy is needed to find source of bleeding.
- Posterior nasal packing and cautery are usual procedures to stop posterior nasal bleeding.
References
- ↑ Krulewitz, Neil Alexander; Fix, Megan Leigh (2019). "Epistaxis". Emergency Medicine Clinics of North America. 37 (1): 29–39. doi:10.1016/j.emc.2018.09.005. ISSN 0733-8627.