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

To propose radiofrequency coblation as a potential treatment modality for mild to moderate epistaxis in patients with hereditary haemorrhagic telangiectasia. Case reports and review of the world literature concerning coblation and other treatment modalities for epistaxis in patients with hereditary...

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Bibliographic Details
Published in:Journal of laryngology and otology 2011-11, Vol.125 (11), p.1176-1180
Main Authors: Joshi, H, Woodworth, B A, Carney, A S
Format: Article
Language:English
Subjects:
Ablation
Aged
Biological and medical sciences
Case reports
Catheter Ablation
Debridement - adverse effects
Dermatology
Embolization
Epistaxis
Epistaxis - diagnosis
Epistaxis - etiology
Epistaxis - surgery
Female
Hemostatic Techniques
Humans
Laser Therapy - adverse effects
Lasers
Male
Medical sciences
Middle Aged
Nasal Surgical Procedures - methods
Non tumoral diseases
Otolaryngology
Otorhinolaryngology. Stomatology
Patients
Severity of Illness Index
Surgeons
Surgery
Telangiectasia, Hereditary Hemorrhagic - complications
Telangiectasia, Hereditary Hemorrhagic - diagnosis
Treatment Outcome
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
Vascular disorders of the skin
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Summary:To propose radiofrequency coblation as a potential treatment modality for mild to moderate epistaxis in patients with hereditary haemorrhagic telangiectasia. Case reports and review of the world literature concerning coblation and other treatment modalities for epistaxis in patients with hereditary haemorrhagic telangiectasia. 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. 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.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215111001733