Potential Risk Factors of Excessive Epistaxis after Endoscopic Endonasal Surgery

OBJECTIVE:To investigate the potential risk factors and management of excessive epistaxis after endoscopic endonasal surgery (EES).METHOD:Six hundred and forty-one patients who underwent EES in our hospital from December 2011 to December 2012 were reviewed retrospectively. Factors which potentially affect the incidence of excessive epistaxis after EES were analyzed with univariate and multivariate logistic regression model.RESULT:The incidence rate of excessive epistaxis after EES was 8.4% in our study. Multivariate logistic regression analysis revealed that history of previous EES, along with other four factors, correlated significantly with the occurrence of excessive epistaxis after EES.CONCLUSIONS:Previous EES, along with other three factors, may increase the chance of excessive epistaxis after EES, while pre-operative corticosteroid therapy may reduce the risk to some extent.