Navegando por Palavras-chave "Epistaxis"

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    Is the occurrence of spontaneous epistaxis related to climatic variables? A retrospective clinical, epidemiological and meteorological study
    (Taylor & Francis Ltd, 2016) Mangussi-Gomes, João Paulo [UNIFESP]; Enout, Mariana Junqueira Reis [UNIFESP]; Castro, Thaiana Carneiro de [UNIFESP]; Andrade, José Santos Cruz de [UNIFESP]; Penido, Norma de Oliveira [UNIFESP]; Kosugi, Eduardo Macoto [UNIFESP]
    Conclusion: Epistaxis has a bimodal age distribution. Anterior epistaxis of mild severity is more common in children
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    Quebrando paradigmas na epistaxe grave: a importância de procurar o S-point
    (Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, 2018) Kosugi, Eduardo Macoto [UNIFESP]; Balsalobre, Leonardo [UNIFESP]; Mangussi-Gomes, Joao [UNIFESP]; Tepedino, Miguel Soares; San-da-Silva, Daniel Marcus [UNIFESP]; Cabernite, Erika Mucciolo; Hermann, Diego; Stamm, Aldo Cassol
    Introduction: Since the introduction of nasal endoscopy into the field of Otorhinolaryngology, the treatment paradigm for cases of severe epistaxis has shifted toward early and precise identification of the bleeding site. Although severe epistaxis is usually considered to arise from posterior bleeding, an arterial vascular pedicle in the superior portion of the nasal septum, around the axilla projection of the middle turbinate, posterior to the septal body, frequently has been observed. That vascular pedicle was named the Stamm's S-point. Objective: The aim of this study was to describe the S-point and report cases of severe epistaxis originating from it. Methods: A retrospective case series study was conducted. Nine patients with spontaneous severe epistaxis, where the S-point was identified as the source of bleeding, were treated between March 2016 and March 2017. Results: Male predominance (77.8%) with age average of 59.3 years old were reported. Most cases presented comorbidities (88.9%) and were not taking acetylsalicylic acid (66.7%). A predominance of left sided involvement (55.6%) and anteroposterior bleeding being the principal initial presentation (77.8%) was seen. Six patients (66.7%) presented with hemoglobin levels below 10g/dL, and four (44.4%) required blood transfusion. Cauterization of S-point was performed in all patients, with complete resolution of bleeding. No patient experienced recurrence of severe epistaxis. Conclusion: The Stamm's S-point, a novel source of spontaneous severe epistaxis, is reported, and its cauterization was effective and safe. Otolaryngologists must actively seek this site of bleeding in cases of severe epistaxis. (C) 2018 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda. This is an open access article under the CC BY license.
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    Severe epistaxis ' bleeding sites and the prevalence of the s - point
    (Universidade Federal de São Paulo (UNIFESP), 2019-01-31) Loures, Clarice Naya [UNIFESP]; Kosugi, Eduardo Macoto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Epistaxis is the most common emergency for the Otolaryngologist , requiring surgical treatment in cases refractory to clinical measures . Objective : To determine the prevalence of severe epistaxis ' bleeding sites , especially the S - point . Material and Methods : Longitudinal , observational and prospective study with 57 patients submitted to endoscopic assessment for the treatment of severe epistaxis between September 2016 and March 2018. Their clinical and surgical data were statistically analysed . Results : In total , 62 procedures were performed . Mean age was 56.2 years old and the majority of patients ( 54.8 % ) were men . Most patients referred systemic arterial hypertension ( 53.2 % ) and only 24.2 % used antiplatelet drugs regularly . Bleeding sites were identified in 75.8 % of severe epistaxis . The S - point was the most common bleeding site found ( 53.2 % ) . Conclusion : The bleeding site was identified in 75.8 % of severe epistaxis ' patients , especially the S - point , which was found in 53.2 % of cases . The systematic endoscopic search of bleeding points in severe epistaxis must include the S - point area .