Nd-YAG Laser Photocoagulation for Epistaxis Associated with Hereditary Hemorrhagic Telangiectasia

Relationships between epistaxis, migraines, and triggers in hereditary hemorrhagic telangiectasia

“…We concluded that the captured population described nosebleed severity and sequelae in keeping with the known severity profiles in HHT …”

“…The frequency and volume of blood lost through epistaxis have been shown recently to be sufficient to account for the iron deficiency commonly present in HHT patients . Increased frequency and duration of epistaxis in HHT sufferers is also associated with a decreased quality of life, with debilitating nosebleeds very difficult to manage in clinical practice . HHT nosebleeds are recognized to be sporadic, often occurring in clusters, but reasons governing the specific timing of individual nosebleeds or nosebleed clusters have been addressed by relatively few studies …”

Lifestyle and Dietary Influences on Nosebleed Severity in Hereditary Hemorrhagic Telangiectasia

“…Otorhinolaryngologic management of HHT epistaxis includes cauterization, laser photocoagulation, septal dermoplasty, and Young's procedure (nostril closure). Ligation and embolization treatments have also been used .…”

Hereditary hemorrhagic teleangiectasia: the topical problems of diagnostics and surgical treatment

“…Для этих целей ис пользуются различные группы медикаментов: лу бриканты (физиологический раствор, мази с анти биотиками), мази/кремы с гормональными препара тами, антифибринолитики [57][58][59][60]. Хирургическое лечение включает лазерные, химические и электри ческие методы эндоназальной коагуляции, дермо пластику перегородки носа (пересадка кожи или буккальной слизистой), эмболизацию носовой арте рии и закрытие носовой полости (операция Янга) [57,[61][62][63][64][65][66]. Для терапии острых носовых кровотече ний наиболее часто используется тампонирование полости носа, однако удаление тампонов может при вести к повторному кровотечению.…”