| Title | Long-term complications of septal dermoplasty in patients with hereditary hemorrhagic telangiectasia. | | Author(s) | Levine CG, Ross DA, Henderson KJ, Leder SB, White RI | | Institution | Section of Otolaryngology-Head and Neck Surgery, Yale University School of Medicine, New Haven, CT 06520-8041, USA. | | Source | Otolaryngol Head Neck Surg 2008 Jun; 138(6):721-4. | | 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. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 18503842 |
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