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76th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

04.05. - 08.05.2005, Erfurt

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Embolisation in Epistaxis - One alternative therapy?: evaluation from 1996 to 2004

Meeting Abstract

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  • corresponding author Thomas Günzel - ENT Department, Klinikum Frankfurt (Oder)
  • Andreas Roesler - Department of Neuroradiology, Klinikum Augsburg
  • Emil Zenev - ENT Department, Klinikum Augsburg
  • Viktor Voigt - ENT Department, Klinikum Augsburg

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 76. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. Erfurt, 04.-08.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05hno681

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hno2005/05hno199.shtml

Published: September 22, 2005

© 2005 Günzel et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Objective: From 1996 to 2004 we investigated 3185 patients suffering from epsitaxis/nosebleed: Based on a retrospective analyse we want to explain and discuss the benefit of use of embolisation.

Material and methods: From 1996 to 2004 we treated 3185 patients with epistaxis. 1,25 percent (40) of these patients were treated with embolisation, 0,1 percent (3) of them with embolisation of both sides. Embolisation was done distal of maxillary or the sphenopalatine artery with microparticles of polyvinyl alcohol foam (PVA, 150-250 m).

Results: In all cases treated with embolisation (40) the severe nosebleed was stopped. Complications, f.i. necrosis of lateral nosewall were not observed.

Conclusions: In case of severe epistaxis embolisation is a gentle and relative sure therapeutic option with only a few complications. In view of the increasing pressure of cost reduction this method is a possibility of a sure and fast therapy.