Treatment-Resistant Epistaxis in North Carolina

Understanding Treatment-Resistant Epistaxis

Epistaxis, commonly known as a nosebleed, is a relatively prevalent occurrence in the general population. Depending on its location within the nasal cavity, epistaxis can be classified into two primary types: anterior and posterior. The anterior type is notably more frequent, typically resolves on its own, and, if necessary, can be readily managed.

On the other hand, posterior epistaxis is an infrequent variant that often necessitates medical attention. Nasal packing serves as a fundamental intervention in the conservative management of posterior epistaxis. In cases where epistaxis persists or recurs, endovascular intervention or surgical procedures may become necessary.

Both treatment approaches demonstrate comparable rates of success and complications, but endovascular treatment, when feasible, presents several advantages over surgical interventions.

doctor explaining procedure patient

Advanced Treatment Options

Endoscopic Procedures
Endoscopic techniques involve using a thin, flexible tube with a camera to visualize and treat the inside of the nasal passages. This minimally invasive approach allows for precise identification and treatment of bleeding sources, improving outcomes and reducing recovery times.

Embolization
Embolization is a procedure where blood vessels supplying the nasal passages are blocked to prevent further bleeding. This is achieved by introducing materials through a catheter to obstruct the problematic vessels, effectively controlling severe and recurrent nosebleeds.

Nasal Packing
For immediate control of severe epistaxis, nasal packing involves placing materials inside the nasal cavities to apply pressure and halt bleeding. While often a temporary measure, it can be essential in stabilizing patients and preventing further complications.

Surgical Intervention
When other treatments fail, surgical options such as artery ligation or septoplasty may be necessary. These procedures directly address structural issues or vascular sources of bleeding, providing a long-term solution for treatment-resistant epistaxis.

Personalized Treatment Plans

Treatment plans help in managing treatment-resistant epistaxis effectively. At NCNSA, our team evaluates each patient’s unique medical history, underlying conditions, and the severity of their epistaxis. This approach offers our patients their own treatment plan.

During consultations, we thoroughly discuss the available treatment options, helping patients make informed decisions about their care.

My experience here has been a positive one each time I have been for appointments and one surgery. Staff are pleasant and professional at all times & the doctors/PA’s/NP’s I have interacted with listened to my concerns, included me in deciding the best approach to my care and taken that extra moment to explain many of the complex medical terms used during my appointments. A positive experience overall.

-Pete C.

Benefits of Advanced Epistaxis Treatments

  1. Expertise and Experience: Our team is highly skilled in diagnosing and treating complex cases of treatment-resistant epistaxis, ensuring patients receive the best possible care.
  2. Updated Equipment: NCNSA is equipped with advanced imaging technology and interventional suites, enabling precise and effective treatment delivery for all patients.
  3. Commitment to Patient-Centered Care: We prioritize patient safety and aim to achieve optimal outcomes, focusing on individualized care for each patient suffering from treatment-resistant epistaxis.

Who Can Benefit from Advanced Epistaxis Treatments?

Advanced treatment options are ideal for individuals experiencing chronic or recurrent nosebleeds that have not responded to conservative treatments. Patients seeking relief from debilitating nosebleeds and an improved quality of life can benefit significantly from our practice.

Schedule Your Consultation

If you are struggling with treatment-resistant epistaxis, schedule a consultation with us at NCNSA. Our team is dedicated to helping you find the most effective treatment plan for your condition. Contact us today to book your appointment and take the first step towards better health.

Schedule a Consultation

The care team at Neurosciences & Spine Center can help you decide on the treatment that's best for you. They specialize in minimally invasive surgery and are experienced in diagnosing and treating disorders and diseases, using the newest techniques for relieving pain and returning you to an active lifestyle. To make an appointment at Neurosciences & Spine Center call 919-784-7550.

Patient Testimonials

Nat Lambeth
I am a former patient of Dr Koolevelt, hate he retired am of the opinion he is a great doctor. I had a very good result from my surgery last April. I have encountered a new problem. I called and got an appoint ment to see Daniel Ingram he to is great. He listen to my complaint(s), then examined me. He sent me for xrays, and gave me a recomended treatment plan. Within hours of having my xrays he called me back with the preliminary results. He said he would get me seen for an injection to rule out possible other issues. He is a warm friendly professional. Great bedside manner. You don't find medical professionals of his quality in every practice. UNCRex Neuroscience is lucky to have him.
Dennis Hlad
Everyone was pleasant & efficient. Daniel Ingram, PA went over the previous MRI showing me where the problem is. Then we discussed the options. He suggested if the symptoms changed to contact him.
Jill Schade
I have known Dr Koeleveld and his team over 19 years and due to the nature of my back history L5/S1. There is NO one else I would trust but Dr K, Dan, Judy and his wonderful team. I should have written this sooner as I am 2 years post fusion and doing wonderful. Their expertise, care and compassion is second to none.
Katy TwoJsMom
Amazing. Mom needed nerve ablation on the back. She has a pacemaker and these folks were wonderful.
Kristian Brock
Best experience I had even Surgery went great, Dr.Lacin knew exactly what needed to be done.
Catherine Raspet
When I had stenosis quite a while ago, he performed surgery,and I woke up with no pain. What an extreme relief.
Raymond Baule
Great job Dr. Buttram!
Whitney Moore
John A. Engler, MD was amazing! I've been having back pain for years (had surgery in 2011) and was good for awhile. However I started going to a pain management clinic 3 years ago when it started up again. After an incident that cause me to go the the ER I was referred to Dr. Engler. He was extremely nice and informative. He took the time to explain everything to me. Extremely satisfied with the care I received will update after everything is said and done.
Mary Roby
I am now pain free and well on my way to a full recovery thanks to Dr. Lacin. Both he and his staff are knowledgeable, compassionate, caring and professional. Dr. Lacin performed back surgery on me as well as my mom and we will both be forever grateful.
Jeff Wiblitzhouser
Dr. Lacin's skill and dedication gave me a new lease on life. As a designer and builder of custom homes and remodels, I depend on my ability to get in and out of houses, tight spaces, etc., and my back had gotten to the point where the pain was intolerable. I didn't hire Dr. Lacin to tell me what I wanted to hear, I hired him to help me regain functionality. Thank You Dr. Lacin and your staff!!
Joann
My primary care doctor referred me to Dr Engler for a second opinion. First, I would like to say I would highly recommend seeing Dr Engler. He was patient, very thorough, and really took the time listening to me when I explained the pain I been experiencing. I was so relieved when he immediately pinpointed the cause of my pain. Dr Engler not only told me my options, but he explained them in-dept to me, and answered all my questions. I was truly satisfied with my visit. I Couldn't have asked for a better doctor.
Sharon Greene
Superb care from Dr Lacin and staff. Dr Lacin repaired my cervical disc, and with each visit I felt as if my care was most important to him and he Treated me like I was his only patient. Great bedside manner and Excellent surgeon. Highly recommended!!!
Brooke Weisner
Dr. Buttram was amazing, he helped me recover from a severely herniated disc, which ultimately had to have surgery on. his staff is super sweet and friendly, I would recommend him to anyone who is having back pain.