Therapeutic Management of Epistaxis in CHU Yalgado Ouedraogo

Objective: The objective of this study was to report the treatment results of epistaxis in our practice. Materials and Methods: This is a prospective study over a period of one (01) year from January to December 2015, wearing on 264 patients received and supported for epistaxis in the ENT and Neck of facial Surgery Department in CHU Yalgado Ouedraogo of Ouagadougou. Results: The epistaxis represents 15% of emergency in the service. The average age of onset was 30.8 years with extremes ranging from 2 months to 80 years. We noted 213 (80.7%) adults and 51 (19.3%) children. The subjects of male sex represented 194 cases (73.5%) and female sex 70 cases (26.5%). The epistaxis was anterior in 90.1% of cases, unilateral in 56.8% of cases and severe in 40. 2% of cases. The commonest causes of epistaxis were locoregional (45.8%), dominated by the trauma of the facial structure (33%). The benign tumors represented 2.2%, and malignant tumors 1.6% of the workforce. The arterial hypertension (14%) was the commonest general cause. Non surgical measures have been the main methods of intervention in 98.5% of cases. The treatment had essentially consisted in anterior nasal packing (80.3%) and the etamsylate administration (75%). We observed 5.8% of complications. The death rate was 5%. Conclusion: Epistaxis, hemorrhagic emergency ENT, is common in our practice. The causes are diverse, dominated by locoregional causes. The epistaxis is serious and unpredictable evolution hence the need to initiate a consequent resuscitation.