Erişkin Epistaksis Hastalarına Yaklaşımımız

Year 2025, Volume: 10 Issue: 2, 33 - 36, 31.08.2025

Serkan Altıparmak , Ayhan Kars , İsmail Salcan

Abstract

Amaç: Epistaksis, kulak burun boğaz kliniklerinde en sık görülen acil durumdur. Bu kanamaların büyük çoğunluğu basit
müdahaleler ile giderilebileceği gibi bazen hayatı tehdit edebilecek kadar ciddi olabilir. Biz bu konuda hem hekimlerin
farkındalığını artırmayı, hem de epistaksis konusunu güncel literatür eşliğinde tartışmayı amaçladık.
Gereç ve Yöntemler: Bu çalışma Mart 2024 ile Aralık 2024 tarihleri arasında Binali Yıldırım Üniversitesi Mengücek Gazi
Eğitim ve Araştırma Hastanesi kulak burun boğaz kliniğine aktif epistaksis şikayeti ile başvuran 102 hasta üzerinde retrospektif
olarak gerçekleştirilmiştir.
Bulgular: Çalışmaya 54’ü erkek 48’i kadın olmak üzere toplam 102 hasta dahil edildi. Hastaların yaş ortalaması 57,2 (18-97)
olarak hesaplandı. Epistaksisli bireylerin 64 (%62)’ünde hipertansiyon, 26 (%25) sında koroner arter hastalığı, 15 (% 4)’inde
diabet, 30 (%30)’unda antikoagülan ajan kullanımı mevcuttu. Hastaların 60’ında kanama alanının Kiesselbach pleksusu,
16‘sında Woodruff pleksusu, 6’sında lateral nazal duvar, 4’ünde nazal çatı olduğu saptandı. 16 hastada kanama odağı tam
olarak tespit edilemedi. Hastaların 58’inde kanama odağı sadece bipolar koter ile koterize edilmiş, 26’sında bipolar koter
kullanımı sonrası anterior tampon uygulaması yapılmış, 16 hastada da sadece anterior tampon kullanılmıştır. 2 hastada da
endoskopik olarak sfenoplatin arter ligasyonu uygulanmıştır.
Sonuç: Epistaksis toplumda sık görülebilen acil bir durumdur. Epistaksise uygun yaklaşım, hem kanamayı daha etkili
durdurmayı, hem de hastanın daha konforlu bir dönem geçirmesini sağlar.

Keywords

Epistaksis , anterior nazal tampon , koterizasyon , yönetim

Ethical Statement

Bu çalışma Binali Yıldırım Üniversitesi'nin2024-19/03 numaralı EPK (Eğitim Planlama Kurulu) kararı ile onaylanmıştır.

Our Approach to Managing Adult Patients with Epistaxis

Abstract

Aim: Epistaxis is a common emergency in otolaryngology clinics. While the vast majority of these bleedings can be managed
with simple interventions, they can sometimes be life-threatening. We aimed to both increase physicians’ awareness on this issue
and to discuss the issue of epistaxis in light of current literature.
Materials and Methods: This study was conducted retrospectively on 102 patients who presented to the otolaryngology clinic
of Binali Yıldırım University Mengücek Gazi Training and Research Hospital with complaints of active epistaxis between March
2024 and December 2024.
Result: A total of 102 patients, 54 male and 48 female, were included in the study. The mean age of the patients was calculated
as 57.2 (18-97). Of the patients with epistaxis, 64 (62%) had hypertension, 26 (25%) had coronary artery disease, 15 (14%) had
diabetes mellitus, and 30 (30%) were using anticoagulant medication. The bleeding site was found to be Kiesselbach plexus in
60 patients, Woodruff plexus in 16 patients, lateral nasal wall in 6 patients, and nasal roof in 4 patients.
The bleeding source could not be precisely identified in 16 patients. In 58 patients, the bleeding source was cauterized only with
bipolar cautery, anterior nasal packing was applied after cauterization in 26 patients, and anterior packing was used only in
16 patients. Endoscopic sphenoplatinum artery ligation was also performed in two patients.
Conclusion: Epistaxis is a common emergency in the community. Appropriate treatment in the management of epistaxis ensures
both an effective bleeding control and a more effective post-bleeding period.

Keywords

Epistaxis , anterior nasal tamponade , cauterization , management

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