Hostname: page-component-6bb9c88b65-xjl2h Total loading time: 0 Render date: 2025-07-23T20:36:10.588Z Has data issue: false hasContentIssue false
  • English
  • Français

Coblation for epistaxis management in patients with hereditary haemorrhagic telangiectasia: a multicentre case series

Published online by Cambridge University Press:  16 August 2011

H Joshi ,
B A Woodworth  and
A S Carney
H Joshi*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia
B A Woodworth
Affiliation:
Division of Otolaryngology, Department of Surgery, University of Alabama at Birmingham, Alabama, USA Gregory Fleming James Cystic Fibrosis Research Center, University of Alabama at Birmingham, Alabama, USA
A S Carney
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia
*
Address for correspondence: Dr H Joshi, Flinders Medical Centre, 94 Broadmeadow Drive, Flagstaff Hill, SAAustralia 5159 E-mail: joshihims@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To propose radiofrequency coblation as a potential treatment modality for mild to moderate epistaxis in patients with hereditary haemorrhagic telangiectasia.

Method:

Case reports and review of the world literature concerning coblation and other treatment modalities for epistaxis in patients with hereditary haemorrhagic telangiectasia.

Results:

Effective epistaxis control was achieved in four out of five cases of hereditary haemorrhagic telangiectasia. In the fifth case, we struggled to achieve haemostasis due to disease severity.

Conclusion:

Radiofrequency coblation is a novel technique, which was found to be a safe, effective, quick and well tolerated treatment option for epistaxis management in patients with hereditary haemorrhagic telangiectasia.

Keywords

Hereditary Haemorrhagic TelangiectasiaEpistaxisSurgical Techniques, OperativeCoblationNasal Cavity

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 11 , November 2011 , pp. 1176 - 1180
Copyright
Copyright © JLO (1984) Limited 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1AAssar, OS, Friedman, CM, White, RI Jr.The natural history of epistaxis in hereditary hemorrhagic telangiectasia. Laryngoscope 1991;101:977–80CrossRefGoogle ScholarPubMed
2Haitjema, T, Westermann, CJ, Overtoom, TT, Timmer, R, Disch, F, Mauser, H et al. Hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu disease): new insights in pathogenesis, complications, and treatment. Arch Intern Med 1996;156:714–19Google Scholar
3Sadick, H, Riedel, F, Oulmi, J, Hörmann, K, Bergler, WF. Argon plasma coagulation and topically applied estriol – long-term results in the treatment of hereditary hemorrhagic telangiectasia of the nasal mucosa [in German]. HNO 2003;51:118–24CrossRefGoogle ScholarPubMed
4Jameson, JJ, Cave, DR. Hormonal and antihormonal therapy for epistaxis in hereditary hemorrhagic telangiectasia. Laryngoscope 2004;114:705–9CrossRefGoogle ScholarPubMed
5Harvey, RJ, Kanagalingam, J, Lund, VJ. The impact of septodermoplasty and potassium-titanyl-phosphate (KTP) laser therapy in the treatment of hereditary hemorrhagic telangiectasia-related epistaxis. Am J Rhinol 2008;22:182–7CrossRefGoogle ScholarPubMed
6IlIum, P, Bjerring, P. Hereditary haemorrhagic telangiectasia treated by laser surgery. Rhinology 1988;26:19–24Google Scholar
7Levine, HL. Endoscopy and KTP/532 laser for nasal sinus disease. Ann Otol Rhinol Laryngol 1989;98:46–51Google Scholar
8Jovancević, L, Mitrović, SM. Epistaxis in patients with hereditary hemorrhagic telangiectasia [in Serbian]. Med Pregl 2006;59:443–9CrossRefGoogle Scholar
9Bublik, M, Sargi, Z, Casiano, RR. Use of the microdebrider in selective excision of hereditary hemorrhagic telangiectasia: a new approach. Otolaryngol Head Neck Surg 2007;137:157–8CrossRefGoogle ScholarPubMed
10Ghaheri, B, Fong, KJ, Hwang, PH. The utility of bipolar electrocautery in hereditary hemorrhagic telangiectasia. Otolaryngol Head Neck Surg 2006;134:1006–9CrossRefGoogle ScholarPubMed
11Saunders, WH. Permanent control of nosebleeds in patients with hereditary hemorrhagic telangiectasia. Ann Intern Med 1960;53:147–52Google ScholarPubMed
12Gluckman, JL, Portugal, LG. Modified Young's procedure for refractory epistaxis due to hereditary haemorrhagic telangiectasia. Laryngoscope 1994;104; 1174–7CrossRefGoogle Scholar
13Grobler, A, Carney, AS. Radiofrequency coblation tonsillectomy. Br J Hosp Med (Lond) 2006;67:309–12CrossRefGoogle ScholarPubMed
14Kostrzewa, JP, Sunde, J, Riley, KO, Woodworth, BA. Radiofrequency coblation decreases blood loss during endoscopic sinonasal and skull base tumor removal. ORL J Otorhinolaryngol Relat Spec 2010;72:38–43CrossRefGoogle ScholarPubMed
15Smith, N, Kostrzewa, J, Riley, KO, Woodworth, BA. Endoscopic coblation-assisted management of encephaloceles. Laryngoscope 2010;120:2535–9CrossRefGoogle ScholarPubMed
16Stecker, RH, Lake, CF. Hereditary hemorrhagic telangiectasia; review of 102 cases and presentation of an innovation to septodermoplasty. Arch Otolaryngol 1965;82:522–6CrossRefGoogle ScholarPubMed
17Lennox, PA, Hitchings, AE, Lund, VJ, Howard, DJ. The SF-36 health status questionnaire in assessing patients with epistaxis secondary to hereditary hemorrhagic telangiectasia. Am J Rhinol 2005;19:71–4Google Scholar
18Kardos, T, Holt, T, Ferguson, M. Histological evaluation of the effect of a miniature carbon dioxide laser on oral mucosa. Int J Oral Maxillofac Surg 1989;18:117–20CrossRefGoogle ScholarPubMed
19Shapshay, S, Rebeiz, E, Bohigian, R, Hybels, R. Benign lesions of the larynx: should the laser be used? Laryngoscope 1990;100:953–7CrossRefGoogle ScholarPubMed
20Byahatti, S, Rebeiz, E, Shapshay, S. Hereditary hemorrhagic telangiectasia: what the otolaryngologist should know. Am J Rhinol 1997;11:55–62Google Scholar
21Lund, VJ, Howard, DJ. A treatment algorithm for the management of epistaxis in hereditary haemorrhagic telangiectasia. Am J Rhinol 1999;13:319–22CrossRefGoogle Scholar
22Taylor, M, Young, A. Histopathological and histochemical studies on atrophic rhinitis. J Laryngol Otol 1961;75:574–90CrossRefGoogle ScholarPubMed