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Otolaryngol Head Neck Surg. 2008 Jun;138(6):721-4. doi: 10.1016/j.otohns.2008.01.005.

Long-term complications of septal dermoplasty in patients with hereditary hemorrhagic telangiectasia.

Author information

1
Section of Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, CT 06520-8041, USA.

Abstract

OBJECTIVE:

Septal dermoplasty has been recommended as the treatment of choice for life-threatening epistaxis in patients with hereditary hemorrhagic telangiectasia. This study evaluates the complications of septal dermoplasty in the management of transfusion-dependent epistaxis.

STUDY DESIGN:

Consecutive retrospective study.

SUBJECTS AND METHODS:

Between 1994 and 2006, septal dermoplasty was performed on 106 consecutive patients with transfusion dependent epistaxis. Of 103 potential patients, 37 either died or were lost to follow-up, which left 66 patients for study. Data on complications and quality of life were collected on 50 (76%) of 66 patients (mean follow-up, 3.75 years) via phone interview.

RESULTS:

Seventy-eight percent experienced nasal odor; 72% had nasal crusting; 58% had decreased sense of smell; 30% noted worsened sinus infection; 88% could breathe through their nose; 86% stated improved quality of life.

CONCLUSION:

Septal dermoplasty remains an effective way of treating transfusion dependent epistaxis in patients with hereditary hemorrhagic telangiectasia and subjectively improves their quality of life.

PMID:
18503842
DOI:
10.1016/j.otohns.2008.01.005
[Indexed for MEDLINE]
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