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The use of a nasal obturator in hereditary haemorrhagic telangiectasia: an alternative to Young’s procedure

Published online by Cambridge University Press:  08 March 2006

T. J. Woolford ,
D. Loke  and
N. D. Bateman
T. J. Woolford
Affiliation:
Department of Otorhinolaryngology - Head and Neck Surgery, Royal Hallamshire Hospital, Sheffield, UK.
D. Loke
Affiliation:
Department of Otorhinolaryngology - Head and Neck Surgery, Royal Hallamshire Hospital, Sheffield, UK.
N. D. Bateman
Affiliation:
Department of Otorhinolaryngology - Head and Neck Surgery, Royal Hallamshire Hospital, Sheffield, UK.
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Abstract

Epistaxis associated with hereditary haemorrhagic telangiectasia (HHT) is a challenging condition. Septodermoplasty, electrocautery and laser treatment often provide short-term relief only. The surgical closure of the nostrils (‘Young’s procedure’) represents a longer term solution but has the disadvantage of causing permanent complete nasal obstruction. A Silastic™ obturator has the advantage of being a non-surgical intervention and allows temporary relief of the nasal obstruction. We present the cases of three patients with HHT who used the obturator with good clinical effect, suggesting that this is a realistic non-surgical alternative to Young’s procedure for patients with HHT.

Keywords

EpistaxisTelangiectasia, Hereditary HaemorrhagicMedical TreatmentTreatment Outcome
Type
Brief Report
Information
The Journal of Laryngology & Otology , Volume 116 , Issue 6 , June 2002 , pp. 455 - 456
Copyright
© Royal Society of Medicine Press Limited 2002

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