COMPARATIVE INDICATORS OF JOINT OPERATIONS PERFORMED USING LOCAL

Аннотация

In recent years, the frequency of nosebleeds, which is one of the most common indications for admitting patients to ENT hospitals, has been increasing dramatically. Patients with this pathology make up to 20.5% of all hospitalized patients. According to research, 80% of nosebleeds are associated with systemic factors, among which arterial hypertension is the most important. Also, injuries of the face-jaw area, tumors of the nose and paranasal cavities, systemic diseases of the connective tissue, and coagulopathies of various genesis are common causes of nosebleeds. In practice, most often (80-90%) there is bleeding from the front-lower sections of the nasal septum (zone Kiesselbach), where the great palate and anterior ethmoidal arteries are anastomosed. Bleeding from the posterior and posterior-superior parts of the nasal cavity (zone Woodruff) is less common, but they are characterized by an excellent melting and relapsing course and are often life-threatening. The difficulty of stopping bleeding from these sections is due to the presence of a strong system of anastomoses between the pool of external and internal carotid arteries.