Epistaxis Surgical Treatment Texas - Nose Bleed solution Rhinologists
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Epistaxis, commonly called “nosebleed”, is a growing concern among people from all walks of life. Though rarely life-threatening, the issue may cause unpredictable and frustrating bleeding episodes. The inside of the nose is a very delicate part of the face as it has countless blood vessels meaning that any mild trauma to the face or nose can cause epistaxis. The problem may vary from minor irritation of the nasal mucosa, to heavy bleeding from the intranasal blood vessels, which require immediate medical intervention. The complexity and potential severity of epistaxis is exactly why you need a nose specialist at Houston Advanced Nose & Sinus. Dr. Kuperan is one of the few fellowship certified Rhinologists in all of Texas with specialized expertise, experience, and skills in treating patients with all causes and types of epistaxis.



Nosebleeds are divided into anterior and posterior epistaxis based on the bleeding site of origin. Anterior occurs when blood vessels in the front part of the nose rupture and bleed. Posterior epistaxis occurs in the back or the deepest part of the nose, and can be dangerous as posterior bleeding can be severe and life threatening. The common causes of epistaxis include:

  • Nasal dryness from heavy central heating or air conditioning use
  • Nasal dryness from frequent nasal steroid spray use
  • Living in particularly dry climates (mountain or desert conditions)
  • Injuries to the nose
  • High blood pressure

  • Bleeding disorders (hemophilia)
  • Use of blood thinners (aspirin, Coumadin, Plavix)
  • Hereditary telangiectasias (a genetically inherited condition)
  • Nasal polyps
  • Sinus tumors


If it becomes frequent and problematic it is always essential to consult a Rhinologist immediately for an accurate diagnosis and treatment plan. Nasal endoscopy (looking inside the nose with a small camera) is essential to better assess the problem and determine the source of the bleeding. For nasal dryness causing epistaxis, nasal saline spray or gel along with use of an air humidifier is enough to resolve the problem. If the bleeding is more severe, cauterization with silver nitrate or a monopolar/bipolar electrocautery device (used while you are under sedation) may be necessary to control the bleeding. In rare cases nasal packing material may be needed to control bleeding. In cases where epistaxis is a result of nasal polyps or sinus tumors, endoscopic sinus surgery may be required to stop the bleeding. The key is choosing an approach tailored to the severity and cause(s) of your epistaxis. There is not one single solution that is correct for every patient, and that’s why Houston Advanced Nose & Sinus is unique. We don’t promote a “cookie-cutter” approach to treatment like some other practices. Dr. Kuperan’s super specialized expertise and experience as a Rhinologist will make sure you get the best treatment to quickly resolve your nosebleeds.