유전성 출혈성 모세혈관 확장증으로 진단받지 않은 반복적인 비출혈 환자에서의비중격 식피술 증례
Septodermoplasty in Recurrent Epistaxis Without Hereditary Hemorrhagic Telangiectasia
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Epistaxis is a common disease, most of which is naturally improved without treatment. How-ever, some patients experience recurrent epistaxis despite having received various treatments. In such cases, the control of epistaxis may require a more invasive technique, such as emboli-zation or surgical ligation of the main feeding arteries of the nasal cavity. However, the nasalseptum receives blood supply from various branches of blood vessels, so these vascular con-trols can be inappropriate. In this case report, we applied septodermoplasty - a surgical tech-nique mostly aimed for the treatment of intractable epistaxis from hereditary hemorrhagic tel-angiectasia (HHT) - to treat patients suffering recurrent epistaxis from the nasal septum. Although the two patients we treated were non-HHT, our application of this surgical tech-nique turned out to be successful. Here, we suggest expanding the indication of septodermo-plasty to non-HHT patients presenting with recurrent and difficult-to-treat epistaxis.
Abstract
Epistaxis is a common disease, most of which is naturally improved without treatment. How-ever, some patients experience recurrent epistaxis despite having received various treatments. In such cases, the control of epistaxis may require a more invasive technique, such as emboli-zation or surgical ligation of the main feeding arteries of the nasal cavity. However, the nasalseptum receives blood supply from various branches of blood vessels, so these vascular con-trols can be inappropriate. In this case report, we applied septodermoplasty - a surgical tech-nique mostly aimed for the treatment of intractable epistaxis from hereditary hemorrhagic tel-angiectasia (HHT) - to treat patients suffering recurrent epistaxis from the nasal septum. Although the two patients we treated were non-HHT, our application of this surgical tech-nique turned out to be successful. Here, we suggest expanding the indication of septodermo-plasty to non-HHT patients presenting with recurrent and difficult-to-treat epistaxis.
참고문헌 (15)
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