AI Article Synopsis

  • The study aimed to identify risk factors and management strategies for excessive nosebleeds (epistaxis) following endoscopic endonasal surgery (EES).
  • A total of 641 patients who underwent EES were analyzed, finding that 8.4% experienced excessive epistaxis post-surgery.
  • Key risk factors included a history of prior EES and three other factors, while pre-operative corticosteroid therapy appeared to lower the risk of excessive nosebleeds.

Article Abstract

Objective: To investigate the potential risk factors and management of excessive epistaxis after endoscopic endonasal surgery (EES).

Method: Six hundred and forty-one patients who underwent EES in our hospital from December 2011 to December 2012 were reviewed retrospectively. Factors which potentially affect the incidence of excessive epistaxis after EES were analyzed with univariate and multivariate logistic regression model.

Result: The incidence rate of excessive epistaxis after EES was 8.4% in our study. Multivariate logistic regression analysis revealed that history of previous EES, along with other four factors, correlated significantly with the occurrence of excessive epistaxis after EES.

Conclusions: Previous EES, along with other three factors, may increase the chance of excessive epistaxis after EES, while pre-operative corticosteroid therapy may reduce the risk to some extent.

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