Although 51.4% of patients continued to be in clinical remission more than 15 yr after the initial pneumatic dilation, the long-term success rate of pneumatic dilation seems to drop progressively with time.

Patients with Rendu-Osler-Weber syndrome, a relatively common inherited vascular disorder, usually appear with epistaxis. Treatment is supportive and conducive to the prevention of complications. There are several ways to manage this condition, including conservative, medical, or surgical/ procedural approaches.Three cases of outpatients with hereditary hemorrhagic telangiectasia (HHT) are presented, who reported recurrent episodes of nasal bleeding. Furthermore, this study focuses on the approach to control episodes of epistaxis in our out patient department, using radiofrequency (RF) energy in order to achieve coblation. Specifically, the clinical methodology aims to decrease the severity and frequency of nasal bleeding in the long term, with minimal local and general side effects. This will subsequently improve the quality of life in these patients.