Epistaxis classification
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1],Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D.
Overview
Epistaxis can be classified into anterior-epistaxis and posterior-epistaxis based upon which vessel is source of bleeding.
Classification
Epistaxis can be classified into anterior-epistaxis and posterior-epistaxis based upon which vessel is source of bleeding::[1] Closing </ref> missing for <ref> tag
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.