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ENT

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Epistaxis

Question
17 out of 24
 

Treatment of choice in recurrent epistaxis in a patient with hereditary hemotelangiectasis: (LQ)



A Anterior ethmoidal artery ligation

B Septal dermatoplasty

C External carotid artery ligation

D Internal carotid artery ligation

Ans. B Septal dermoplasty

Ref. Dhingra 5th/ed p 193, 6th/ed p 180;

Hereditary hemotelangiectasia (HHT) or Osler-Weber-Rendu disease is an autosomal dominant condition affecting blood vessels in the skin, mucous membranes and viscera

The genetic abnormality is located to chromosome 9 and 12

Classical features:

- Telangiectasia

- AN malformations

- Aneurysms

- Recurrent epistaxis (seen in 93% cases)

Management

Epistaxis Flashcard List

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