An international survey on the pragmatic management of epistaxis

Epistaxis is one of the most common ear, nose and throat emergencies. The management of epistaxis has evolved significantly in recent years, including the use of nasal cautery and packs. However, a correct treatment requires the knowledge of nasal anatomy, potential risks, and complications of treatment. Epistaxis is often a simple and readily treatable condition, even though a significant bleed may have potentially severe consequences. At present, there are very few guidelines concerning this topic. The current Survey explored the pragmatic approach in managing epistaxis. A questionnaire, including 7 practical questions has been used. The current International Survey on epistaxis management reported a relevant prevalence (21.7%), mainly during childhood and senescence, an important hospitalization rate (11.8%), the common use of anterior packing and electrocoagulation, and the popular prescription of a vitamin supplement and intranasal creams

Some implications on tympanoplastic III types surgery using titan prosthesis

227 tympanoplasty III type surgeries were operated in 2010-2012 in Mongolia. Clinical and operative features of the tympanoplasty III type surgeries were prospectively recorded. Out of the surgeries, 98 cases (43.2%) were cholesteatoma, 101 cases (44.5%) were granuloma middle ear and 29 cases (12.3%) were adhesive otitis media. Regarding middle ear diseases, 16,2% out of the diseases have the defect of malleus, 44,1 % have the defect of incus and discontinuity of incus and stapedius, and 39,7% is totally absent of ossicular chain. The air and bone gap of all patients were above 15-35 dB. HEINZ KURZ firm's TTP-Variac system's titan prosthesis was used. Titan prosthesis PORP was carried out in 137 cases (60,4%). For 67 (48,9%) out of the 137 cases, size of titan prosthesis PORP 2.25 mm was chosen. Hearing level increased for 72% out of patients by 10-25 dB after the operation. However, for 70 (51,1%) out of the 137 cases, size of titan prosthesis PORP 2.5 mm was chosen. Hearing level increased for 89% out of patients by 10-30 dB after the operation. Titan prosthesis TORP size 4-4.25 mm was chosen for 90 (39,6%) out of 227 cases. Titan prosthesis with connector was used for 18 out of 90 cases.Hearing level increased by 10-30 dB for 82% out of patients involved after the operation. Implantation of Titanium prosthesis increased hearing capability by 80-86% dB.Unterstützt durch: Jargalkhuu EDer Erstautor gibt keinen Interessenkonflikt an