Long Term Results and Complications After Epistaxis Treatment

University of Zurich (UZH)

Status: Completed

Conditions: Nosebleed (Epistaxis) - Posterior or Anterior

Study type: Observational

Funder types: Other

Identifiers

NCT02127554

KEK-ZH-Nr: 2013-0519 (Other Identifier)

SM_21_01_2014

Details and patient eligibility

About

The aim of this study is to find the most agreeable and in the long term most efficient treatment for epistaxis.

Full description

In the general population epistaxis occurs quite frequently. Approximately 60% of persons will be affected once in their lifetime, and 6% thereof will seek medical advice. Thereby anterior and posterior epistaxis are discerned. Anterior epistaxis is usually located at the Locus Kisselbachii, while posterior bleeds are found further back in the nose. There, most bleeds will originate from the A. sphenopalatina or the A. ethmoidalis.

Different treatment modalities exist. Anterior epistaxis are usually easier to treat than posterior ones. The aim of this study is to find the most efficient treatment. This involves the assessment of long term results and potential sequelae. Existing data will be complemented with information about recurrences and complications. The question is: Which treatment method leads to the least numbers of recurrences in the long term with the fewest long term sequelae?

Secondly, the most agreeable, least painful treatment method is to be identified. Therefore we will send out questionnaires to patients that were treated between March 29, 2007 and April 1st, 2008 at the Zurich University Hospital.

Enrollment: 591 patients

Sex: All

Ages: 14 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

All patients treated during the study period with known address and who did not decease in the meantime.

Exclusion criteria

Insufficiently filled out questionnaires; Obvious lack of ability to remember (as tested by control questions); Known mental disability

Trial design

591 participants in 7 patient groups

Electric coagulation

Description:

Patients with anterior epistaxis, treated with electric coagulation

Chemical coagulation

Description:

Patients with anterior epistaxis, treated with chemical coagulation

Outpatient tamponade

Description:

Patients with posterior epistaxis, treated with tamponade as an outpatient

Inpatient tamponade

Description:

Patients with posterior epistaxis, treated with tamponade and kept in the hospital.

Surgery

Description:

Patients with posterior epistaxis, treated with surgery as inpatients

Foley balloon catheter

Description:

Patients with posterior epistaxis, treated as inpatients with Foley balloon catheter

Combined treatment

Description:

Patients with posterior epistaxis, treated as inpatients with a combination of methods