Epistaxis management in Nigeria: strength, challenges and recommendations.

PURPOSE OF REVIEW: The purpose of this study was to review epistaxis management in Nigeria in the context of current global rhinology practice. It aimed to identify the current strengths in practice that require consolidation and the gaps that require recommendations.

RECENT FINDINGS: The consistent predominance of otolaryngological interventions in tertiary hospitals reflects the paucity of specialists and lack of equipment for the optimal management of epistaxis in primary and secondary healthcare facilities in Nigeria. Endoscopic intervention was apparent in the most recent publications, but it is still a key limitation, given that it is not widely available in all facilities. The commencement of rhinology fellowships and the emergence of interventional radiology is a ray of hope for an imminent, excellent practice.

SUMMARY: Management of nosebleeds in Nigeria is safe despite limited resources. We believe that there has been progress in endoscopic management; however, this is not widely available. Therefore, there is a need for inclusive advancement. Moreover, local management guidelines would be an excellent tool for unified practice in the advent of rhinology fellowships and evolving interventional radiology. It is vital to fortify primary and secondary health systems.