Hemorrhage from the ORL area

: Bleeding in the ENT area necessitates fast action to recognize and to stop the bleeding as well as to avert upcoming dangers. Prerequisite for a diagnostic is a good source of light via the reflector or the endoscope. During bleeding from wounds in the ears, nose, and throat, additional sources of bleeding from the mentioned cavities have to be excluded. Beside a traumatic caused bleeding, this finding may also be due to tumors and infections. An admixture of liquor can be seen during bleeding from head injury. Bleeding from the nose is located in 80% of the cases in the frontal part of the nose (locus Kiesselbache). A submucosal hematoma on the pharyngeal fornix and back wall, respectively, points to a fracture of the sphenoid or ethmoid bone. A blue-red colored tonsil with a fresh bleeding from mucosal chaps is seen as a warning indication of a tonsillogenic arrosion bleeding. Bleeding from the hypopharynx and the larynx necessitate the endotracheal intubation. Bleeding from the ear do not have to lead to rushed actions.