Epistaxis Other Imaging Findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: José Eduardo Riceto Loyola Junior, M.D.[2]


Rhinoscopy and nasal endoscopy may be helpful in the diagnosis of epistaxis. It can help assessing the source of bleeding, distinguishing between anterior and posterior epistaxis, and also help in the treatment.

Other Imaging Findings


  • It can be performed after removal of blood clots from the nasal cavity, using a nasal speculum and headlight.[1]
  • The application of a vasoconstrictor associated with a local anesthetic in an impregnated cotton tuft will enable a better view and also allow for treatment of the bleeding.[1]
  • One limitation is that rhinoscopy offers a very limited view of the nose and the possible source of bleeding in comparison to the endoscopy.[1]

Nasal endoscopy


  1. 1.0 1.1 1.2 Beck R, Sorge M, Schneider A, Dietz A (2018). "Current Approaches to Epistaxis Treatment in Primary and Secondary Care". Dtsch Arztebl Int. 115 (1–02): 12–22. doi:10.3238/arztebl.2018.0012. PMC 5778404. PMID 29345234.
  2. 2.0 2.1 Kumar M V V, Prasad K U R, Gowda P R B, S R M, P K C (2013). "Rigid nasal endoscopy in the diagnosis and treatment of epistaxis". J Clin Diagn Res. 7 (5): 831–3. doi:10.7860/JCDR/2013/4421.2995. PMC 3681049. PMID 23814722.

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