Treatment of choice in recurrent epistaxis in a patient with hereditary hemotelangiectasis:
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)
Anterior ethmoidal aery ligation
Septal dermatoplasty
External carotid aery ligation
Internal carotid aery ligation