“Severe nosebleed patients, do not have to do with underlying disease

View of Konkuk University Hospital
View of Konkuk University Hospital

[헬스코리아뉴스 / 박민주] In patients with severe nosebleeds, there is a lot of bleeding at the S-point in the upper part of the nose, and a new study shows that this is not related to the underlying disease.

Konkuk University Hospital Department of Otorhinolaryngology-Head and Neck Surgery Department Ha-min Jeong and Prof. Kim Jin-guk (corresponding author) The research team conducted 139 of 268 patients admitted to Konkuk University Hospital and Chung-Ang University Hospital ENT departments for nosebleeds from January 2008 to August 2019. Post-treatment (retrospective) medical records were analyzed for three patients.

As a result, it was found that 28.8% of the bleeding points were S-points located in the upper nasal septum of the nose. In addition, it was found in many patients with low body mass index (BMI), and these cases were often accompanied by mild anemia. On the other hand, posterior bleeding other than S-point was common in patients with high body mass index (BMI) and was not accompanied by anemia in many cases. In addition, there was no difference in bleeding points according to underlying diseases such as hypertension, diabetes, hyperlipidemia, and sinusitis.

Professor Kim Jin-guk said, “Severe nosebleeds are mostly posterior bleeding, have underlying diseases such as high blood pressure, and are known to be common in people with severe obesity.” “It’s high, it’s common in many people, and it’s not related to the underlying disease.”

Professor Kim said, “S-point is a part that is difficult to access during nasal endoscopy and is easy to overlook. This study will help to find more accurate bleeding points when considering S-point bleeding when examining patients with severe nosebleeds.” I expected it.

The results of the study (Prevalence and characteristics of S-point bleeding compared to non S-point bleeding in severe epistaxis) were published in the international journal’Brazilian journal of otorhinolaryngology’ last July.

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