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Reversal of Young's procedure in hereditary haemorrhagic telangiectasia

Published online by Cambridge University Press:  29 August 2012

N B Oozeer  and
B J Bingham
N B Oozeer*
Affiliation:
Department of Otolaryngology, NHS Greater Glasgow and Clyde, New Victoria Hospital, Glasgow, Scotland, UK
B J Bingham
Affiliation:
Department of Otolaryngology, NHS Greater Glasgow and Clyde, New Victoria Hospital, Glasgow, Scotland, UK
*
Address for correspondence: Miss Nashreen Banon Oozeer, Department of Otolaryngology, New Victoria Hospital, NHS Greater Glasgow and Clyde, Grange Road, Glasgow G42 9TY, Scotland, UK Fax: +44 (0)141 3478798 E-mail: n.oozeer@googlemail.com
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Abstract

Background:

Hereditary haemorrhagic telangiectasia is an autosomal dominant condition characterised by multiple venous malformations of the skin and mucous membranes which can bleed on contact. A Young's procedure is used to control severe epistaxis in patients with this condition. However, there has been no previous report of a reversal of Young's procedure in such a patient.

Objective:

A patient with hereditary haemorrhagic telangiectasia had his Young's procedure reversed under general anaesthetic by dividing the mucocutaneous flaps. Nasal vestibule patency was maintained using a custom-made silicone nasal mould. Intra-operative photographs show the patient's nasal mucosa shortly following reversal of his Young's procedure, and also illustrate the creation of the custom-made nasal mould.

Conclusion:

Stopping airflow through the nasal cavity via a Young's procedure prevents the telangiectasia from bleeding but does not make them disappear completely. Young's procedure does not seem to have any long-lasting effect on the nasal mucosa of patients with hereditary haemorrhagic telangiectasia.

Keywords

Telangiectasia, Hereditary HaemorrhagicSurgical Procedures, OperativeSurgical RevisionYoung's Procedure
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 11 , November 2012 , pp. 1169 - 1171
Copyright
Copyright © JLO (1984) Limited 2012

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Footnotes

Presented as a poster at the British Rhinology Society Meeting, 13 May 2011, Edinburgh, Scotland, UK

References

1 Young, A. Closure of the nostrils in atrophic rhinitis. J Laryngol Otol 1967;81:515–24CrossRefGoogle ScholarPubMed
2 Lund, VJ, Howard, DJ. Closure of the nasal cavities in the treatment of refractory hereditary haemorrhagic telangiectasia. J Laryngol Otol 1997; 111:30–3CrossRefGoogle ScholarPubMed
3 NHS Supply Chain. In: https://my.supplychain.nhs.uk/catalogue/product/ghd1746/hearing-aid-digital-accessories-steramould [27 January 2012]Google Scholar
4 Universal dB: Sensory Solutions. In: http://www.universaldb.co.uk [27 January 2012]Google Scholar