• Hereditary haemorrhagic telangiectasia is a relatively
common vasculopathy, more than 90% of patients
develop epistaxis.
• Septal dermoplasty procedures yielded successful
results in reducing epistaxis but also resulted in the
destruction of the nasal mucosa. Therefore, it seems
that the ideal treatment is to replace the diseased nasal
mucosa with healthy nasal mucosa.
• In this study, the mucosa from the posterior inferior
turbinate was used to replace the telangiectic area on
the nasal septum in 16 patients along with radiofrequency
coagulation on other areas.
• The frequency and intensity of epistaxis were graded
into three categories and were used to compare preand
postoperative severity where grade I is the least in
severity.
• Preoperative grade I frequency included two patients
and preoperative grade I intensity included one
patient. Postoperative grade I frequency and intensity
included 12 and 13 patients, respectively. There were
no cases of graft rejection, septal perforation or
atrophic rhinitis. |
