The problem of hemorrhage is ever important in treatment of the ear, nose and throat. As a general statement it may be said that the etiologic factors cover a wide range, varying with the age group concerned. Degenerative cardiovascular lesions with hypertension, the vascular changes associated with rheumatic fever, trauma, whether accidental or resulting from a surgical procedure, and blood dyscrasias in which there is some alteration or deficiency in some thromboplastic substance or substances all present possibilities which mean trouble when related to the field of the ear, nose and throat. Osier1 stated: "In haemophilia the nose ranks first of the mucous membranes from which bleeding is common. It occurs in all forms of chronic anaemias. It precedes the onset of certain fevers and is associated in some special way with typhoid fever. Vicarious epistaxis has been described in suppression of the menses."
In cases of hemorrhage, fear has