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Current treatment strategies for epistaxis: a multidisciplinary approach
  1. Pratik A Shukla1,
  2. Norman Chan2,
  3. Ennis J Duffis1,
  4. Jean Anderson Eloy2,3,
  5. Charles Joseph Prestigiacomo1,3,
  6. Chirag D Gandhi1,3
  1. 1Department of Neurological Surgery, New Jersey Medical School, Newark, New Jersey, USA
  2. 2Department of Otolaryngology, New Jersey Medical School, Newark, New Jersey, USA
  3. 3Neurological Institute of New Jersey, Newark, New Jersey, USA
  1. Correspondence to Dr C D Gandhi, Department of Neurological Surgery, University of Medicine and Dentistry of New Jersey, 90 Bergen St, Suite 8100, Newark, New Jersey 7103, USA; gandhich{at}


Epistaxis is a common clinical complaint with a spectrum of severity ranging from spontaneous cessation to unrelenting, life threatening hemorrhage requiring surgical treatment. Both otolaryngologic and neurointerventional techniques are discussed to provide a comprehensive paradigm to treat patients with epistaxis. An exhaustive review of the anatomic basis for the two main subtypes of epistaxis is provided as well as a graduated approach to appropriate clinical management.

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  • Competing interests None.

  • Provenance and peer review Not commissioned; not externally peer reviewed.