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BACKGROUND: The use of anticoagulants and high-flow oxygen therapy are therapies that may predispose to epistaxis. Both factors often coexist in patients affected by SARSCoV-2, which caused the recent global pandemic of COVID-19. OBJECTIVE: To investigate the clinical-epidemiological characteristics of patients with COVID-19 who develop epistaxis, as well as its triggers and management, among others. MATERIALS AND METHODS: A multicenter, retrospective, descriptive study in COVID-19 patients with a positive PCR test who presented epistaxis throughout the disease. Study was done from January 31st May 19th, 2020. Demographic data were collected on previous comorbidities, treatments, complications related to COVID-19, triggers, severity of epistaxis, treatment indicated and evolution, among others. RESULTS: A total of 18 patients between the ages of 54 and 88 were included, and 72% were male. They were attended in 9 different hospitals throughout Spain, presenting between 1 to 3 cases each. In 83.3% of the patients epistaxis had some specific trigger, being multiple in 16.6% of them. However, nasopharyngeal smear taken for PCR was not the cause in any case. The most frequent type of treatment was an anterior nasal packing.\\\CONCLUSIONS: Although patients with COVID-19 constitute a special risk group for epistaxis given their associated comorbidities, severe epistaxis is rare in this group of patients. The management of these patients is also complex due to the working conditions when assisting these patients and should always keep healthcare workers safe. [ABSTRACT FROM AUTHOR]

Background: Another choice after rhinoseptoplasty is transseptal puncture. Ramirez Oropeza concerns ferulization and stabilize all the septum portions, avoiding hematomas, and allowing the coping of mucosal lacerations when this presents. Objective: To demonstrate that transseptal punctures are less discomfort and have fewer complications than nasal packing in adult patients postoperated of semptumplasty. Material and method: A cohort, random, longitudinal and prospective study was done at Otorhynolaringology and Head and Neck Surgery of Mexican General Hospital with 50 adult patients aged from 16 to 62, with an average of 33, with topographic and clinical diagnosis of septal deviation, whom was placed nasal packing or transseptal puncture post-septumplasty with technique of upper jaw premaxilla. A measuring instrument was designed and implemented by a single observator about symptoms presented during the first seven days of postoperative, related to the use of one or another treatment modality. Results: There was no statistically significant difference in the clinical evolution and complications with nasal packing or transseptal puncture. Conclusion: The choice of placement of nasal packing or transseptal puncture does not affect the evolution and postoperative complications. [ABSTRACT FROM AUTHOR]

BACKGROUND Nasal packings are commonly used after surgical procedures such as septoplasty, rhinoplasty, turbinate management, intranasal biopsies and submucosal resections with the intention of assuring hemostasis, flap support and avoiding hematomas or movement of tissue grafts. Even though its advantages are many, nasal packings are bothersome and are usually accompanied by a great deal of anxiety and in some cases pain. Having nasal packing may increase the risk of cardiovascular complications, hypoxia, foreign body reaction, epistaxis, mucosal lesions and infections. OBJECTIVE To determine morbility based on a clinical and endoscopic evaluation of transeptal sutures and nasal packing. MATERIAL AND METHODS A transversal and cohort study in Hospital Español de México included patients with clinic and topographic diagnosis of septal deviation. A subjective and a postsurgery endoscopic evaluation were carried out 10 days after the intervention. RESULTS There was a statistically significative difference in the clinic and endoscopic evolution with transeptal sutures or nasal packing. CONCLUSION Selection of a technique does not affect the postoperative evolution. [ABSTRACT FROM AUTHOR]