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Coblation for epistaxis management in patients with hereditary haemorrhagic telangiectasia: a multicentre case series

Published online by Cambridge University Press:  16 August 2011

H Joshi ,
B A Woodworth  and
A S Carney
H Joshi*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia
B A Woodworth
Affiliation:
Division of Otolaryngology, Department of Surgery, University of Alabama at Birmingham, Alabama, USA Gregory Fleming James Cystic Fibrosis Research Center, University of Alabama at Birmingham, Alabama, USA
A S Carney
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia
*
Address for correspondence: Dr H Joshi, Flinders Medical Centre, 94 Broadmeadow Drive, Flagstaff Hill, SAAustralia 5159 E-mail: joshihims@gmail.com
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Abstract

Objective:

To propose radiofrequency coblation as a potential treatment modality for mild to moderate epistaxis in patients with hereditary haemorrhagic telangiectasia.

Method:

Case reports and review of the world literature concerning coblation and other treatment modalities for epistaxis in patients with hereditary haemorrhagic telangiectasia.

Results:

Effective epistaxis control was achieved in four out of five cases of hereditary haemorrhagic telangiectasia. In the fifth case, we struggled to achieve haemostasis due to disease severity.

Conclusion:

Radiofrequency coblation is a novel technique, which was found to be a safe, effective, quick and well tolerated treatment option for epistaxis management in patients with hereditary haemorrhagic telangiectasia.

Keywords

Hereditary Haemorrhagic TelangiectasiaEpistaxisSurgical Techniques, OperativeCoblationNasal Cavity
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 11 , November 2011 , pp. 1176 - 1180
Copyright
Copyright © JLO (1984) Limited 2011

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