Epistaxis management: evaluation of old tricks and new treatment options

Although epistaxis is a very common and usually mild problem that is experienced by the majority of the population somewhere in life, it can be a very serious and life threatening event. Fighting with a patient with epistaxis usually in the middle of the night with not enough help around is an experience that most of us came across and usually it does not bring sweet memories. We tend to think that certain weather conditions increases the change of a busy duty with lots of patients with epistaxis but this has been shown to be hardly the case. Otorhinolaryngologists with a special interest in hereditary telangiectasia also recognize the significant reduction of quality of life the disease is giving to the patients (and of course to a lesser extent to the doctor). For that reason we are all always interested in `the best` way to manage epistaxis