ESR Essentials: imaging in nasal obstruction and epistaxis—practice recommendations by the European Society of Head and Neck Radiology - Takeaways - MDSpire

ESR Essentials: imaging in nasal obstruction and epistaxis—practice recommendations by the European Society of Head and Neck Radiology

  • By

  • Anne R. J. Péporté

  • Edith Vassallo

  • Lorenzo Preda

  • Timothy Beale

  • Jussi Hirvonen

  • February 16, 2026

  • 0 min

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  • 1

    Initial clinical assessment and nasal endoscopy are essential before considering imaging for nasal obstruction or epistaxis.

  • 2

    Non-contrast CT is the preferred imaging method for nasal obstruction, especially before surgical procedures.

  • 3

    Imaging for epistaxis is recommended only for severe, recurrent, or posterior bleeding to identify vascular sources.

  • 4

    Nasal obstruction affects 30-40% of the population, often caused by benign conditions like rhinitis and chronic rhinosinusitis.

  • 5

    Epistaxis is a common emergency, with trauma being a significant cause, particularly in otherwise healthy individuals.

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