RECURRENT EPISTAXIS OF ADULT IN TROPICS

Introduction The ENT specialist in a tropical environment is very often confronted with nosebleed. It is the revealing sign of a general or local disease. The objective of this work was to study the different etiological factors and therapeutic aspects of recurrent nosebleed encountered in our service. Patients and Methods This study was conducted from January 2011 to April 2012 focused on 75 patients seen in consultation or hospitalized in the department of ENT diseases, reference health center N°IV Bamako (MALI). All patients of both sexes with bleeding repetitive nature found by the anterior rhinoscopy are included in the study. The laboratory tests are requested. Results We found on 75 patients of the study 36 men (48%) and 39 women (52%) aged from 16 to 90 years old with an average age of 39 years. The causes of recurrent epistaxis were: Subatrophic rhinitis 36 cases (48%), Arterial hypertension 13 cases (17.34%). Nosebleed originated in majority of the anterior part of the septum in 55 cases (73.33%), and was primarily unilateral in 41 cases (54.66%).In most of the patients in the study 39 cases (52%) bleeding sedation has been obtained in the majority in cases by the lubricants of the nasal mucosa. Conclusion Recurrent nosebleed is a common pathology in tropical rhinology. The site of the bleeding was the anterior part of the nasal septum. Most of our patients have been improved by the use of nasal lubricants.