Epistaxis is of such common occurrence that few persons pass through life without experiencing it. However, it may vary in severity from an insignificant to an exsanguinating volume.
The majority of nosebleeds probably require no medical care, and indeed are not brought to the attention of a physician. Of those that the physician does see, only a small proportion require more than simple measures for control. No accurate information is available on what proportion of nosebleeds seen by the physician are "severe," that is, require hospitalization, but it is estimated at less than 10%. The treatment of hospitalized patients who have nosebleed has been adequately presented elsewhere. Of Hallberg's series1. of 212 such patients, 8.0% required arterial ligation for control. In Ogura and Senturia's series2 of 136 hospitalized patients, including 48 children whose bleeding was in Little's area, 2.9% required arterial ligation (4.5% of the adults). In these
KUHN AJ, HALLBERG OE. Ligation of Both External Carotid Arteries for Control of Epistaxis. AMA Arch Otolaryngol. 1955;62(2):130–133. doi:10.1001/archotol.1955.03830020012002
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