Epistaxis: study of aetiology, site and side of bleeding

Indian J Med Sci. 1999 Dec;53(12):545-52.


The present study comprises 300 cases of epistaxis. The analysis of these cases revealed a higher incidence in young males. Unilateral bleeding was seen in almost 60% each of indoor and outdoor cases. Litte's area was the most common site responsible for epistaxis in 28.8% of the indoor and 26.2% of the outdoor patients. Hypertension was the most common systemic cause among indoor patients (62.2%) and sickle cell disorder among the outdoor patients (37.5%). Atrophic rhinitis with myiasis was the local cause of epistaxis in maximum (27%) of the indoor patients and traumatic epistaxis was the commonest cause (33%) among outdoor patients-fingernail trauma in 75.9% of them. Idiopathic epistaxis contributed for 16.5% indoor and 26.1% of outdoor cases. Intractable epistaxis was seen in one case following accidental facial trauma.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Diagnosis, Differential
  • Epistaxis / etiology*
  • Epistaxis / pathology
  • Facial Injuries / diagnosis
  • Female
  • Hematologic Diseases / diagnosis
  • Humans
  • Hypertension / diagnosis
  • Incidence
  • India / epidemiology
  • Male
  • Neoplasms / diagnosis
  • Nose / pathology
  • Prospective Studies
  • Retrospective Studies
  • Rhinitis, Atrophic / diagnosis