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Complications and Outcomes of Endovascular Embolization for Intractable Epistaxis: A Systematic Review and Meta-analysis
CONCLUSIONS: Endovascular embolization is an effective treatment for intractable epistaxis. The decision to perform embolization should be carefully weighed given the rare but significant major complications.PMID:36582148 | DOI:10.1177/00034894221143187
Source: The Annals of Otology, Rhinology, and Laryngology - December 30, 2022 Category: ENT & OMF Authors: Maximilian Bonnici Norman A Orabi Michael Gannon Nathan Williams Cara M Stokes Hassan H Ramadan Meghan T Turner Chadi A Makary Source Type: research

To Pack or Not to Pack: Inpatient Management of Epistaxis in the Elderly.
Conclusion Nonpacking interventions in the elderly do not appear to be associated with increased morbidity or mortality when compared to nasal packing only but appear to be associated with increased hospital charges and length of stay. Embolization in the elderly results in greater hospital charges but no change in outcome when compared to ligation. PMID: 30270635 [PubMed - as supplied by publisher]
Source: American Journal of Rhinology and Allergy - October 1, 2018 Category: ENT & OMF Authors: Zhou AH, Chung SY, Sylvester MJ, Zaki M, Svider PS, Hsueh WD, Baredes S, Eloy JA Tags: Am J Rhinol Allergy Source Type: research

Management of severe and/or refractory epistaxis.
CONCLUSIONS: Most cases of severe and/or refractory epistaxis are resolved by conventional tamponade. Endoscopy ligation is associated with a decrease in hospital stay, without serious complications. It is advisable to have all the possible therapeutic options available, for which the presence of interventional radiologists and experienced surgeons is essential to avoid complications and decide the treatment to be performed individually for each patient. PMID: 29784243 [PubMed - as supplied by publisher]
Source: Acta Otorrinolaringologica Espanola - May 18, 2018 Category: ENT & OMF Authors: García-Cabo P, Fernández-Vañes L, Pedregal D, Menéndez Del Castro M, Murias E, Vega P, Llorente JL, Rodrigo JP, López F Tags: Acta Otorrinolaringol Esp Source Type: research

Surgical and interventional radiological management of adult epistaxis: systematic review.
CONCLUSION: Trials comparing endoscopic sphenopalatine artery ligation to embolisation are required to better evaluate the clinical and economic effects of intervention in epistaxis. PMID: 29280696 [PubMed - in process]
Source: Journal of Laryngology and Otology - December 28, 2017 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Arterial ligation versus embolization in epistaxis management: Counterintuitive national trends
ConclusionCompared to embolization, ligation is associated with significantly decreased hospital charges and shorter hospital stay, without an increase in complication rates. Counterintuitively, ligation appears to be trending downward nationally in its use relative to embolization. Level of Evidence2C. Laryngoscope, 2016
Source: The Laryngoscope - December 22, 2016 Category: ENT & OMF Authors: Michael J. Sylvester, Sei Y. Chung, Luis A. Guinand, Aparna Govindan, Soly Baredes, Jean Anderson Eloy Tags: Allergy/Rhinology Source Type: research