{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,21]],"date-time":"2025-12-21T04:48:56Z","timestamp":1766292536597},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2012,3,1]],"date-time":"2012-03-01T00:00:00Z","timestamp":1330560000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215112000217_sec1\"><jats:title>Objectives:<\/jats:title><jats:p>To investigate common origins of intractable epistaxis, and the efficacy of endoscopic management.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112000217_sec2\"><jats:title>Methods:<\/jats:title><jats:p>Retrospective study of 265 patients with uncontrolled idiopathic epistaxis presenting between July 2008 and July 2009. Patients underwent endoscopic examination and subsequent radiofrequency electrocautery, selective packing or observation.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112000217_sec3\"><jats:title>Results:<\/jats:title><jats:p>Nasal endoscopy indicated that the commonest bleeding sources were the superior nasal septum at the olfactory cleft (39.2 per cent), the inferior meatus (27.5 per cent), the sphenoethmoid recess (6.0 per cent), the middle meatus (5.3 per cent) and other locations (3.4 per cent). Bleeding was successfully controlled with nasal endoscopy plus radiofrequency electrocautery or selective packing. In 49 (18.5 per cent) patients, no abnormality was identified; these patients received observation only, and no further bleeding occurred. None of the patients had serious complications or recurrent epistaxis during the three-month follow-up period.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112000217_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>Thorough endoscopic examination combined with radiofrequency electrocautery should be used as first-line therapy for intractable epistaxis.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215112000217","type":"journal-article","created":{"date-parts":[[2012,3,1]],"date-time":"2012-03-01T11:27:31Z","timestamp":1330601251000},"page":"482-486","source":"Crossref","is-referenced-by-count":8,"title":["Management of intractable epistaxis: endoscopy or nasal packing?"],"prefix":"10.1017","volume":"126","author":[{"given":"Y","family":"Liu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Q","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,3,1]]},"reference":[{"key":"S0022215112000217_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318065b86f"},{"key":"S0022215112000217_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.07.041"},{"key":"S0022215112000217_ref11","doi-asserted-by":"publisher","DOI":"10.1080\/00016480701596070"},{"key":"S0022215112000217_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1962.00740040266016"},{"key":"S0022215112000217_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215109992878"},{"key":"S0022215112000217_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100116214"},{"key":"S0022215112000217_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100114203"},{"key":"S0022215112000217_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000161365.96685.6c"},{"key":"S0022215112000217_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e32814b06ed"},{"key":"S0022215112000217_ref2","first-page":"597","article-title":"A study on role of nasal endoscopy for diagnosis and management of epistaxis","volume":"108","author":"Sengupta","year":"2010","journal-title":"J Indian Med Assoc"},{"key":"S0022215112000217_ref8","first-page":"606","article-title":"Respiratory complications from nasal packing: systematic review","volume":"39","author":"Rotenberg","year":"2010","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"S0022215112000217_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000221967.67003.1d"},{"key":"S0022215112000217_ref7","first-page":"360","article-title":"Management of intractable epistaxis and bleeding points localization","volume":"40","author":"Yang","year":"2005","journal-title":"Chin J Otorhinolaryngol Head Neck Surg"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215112000217","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T22:09:59Z","timestamp":1556230199000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215112000217\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,1]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,5]]}},"alternative-id":["S0022215112000217"],"URL":"https:\/\/doi.org\/10.1017\/s0022215112000217","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,1]]}}}