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Updated: Jul 13, 2026
06:13
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Willebrand factor deficiency and septorhinoplasty]
J Devignes1, A Saviot, E de Maistre
1Service d'hématologie biologique, centre hospitalier universitaire de Nancy, avenue de Morvan, 54511 Vandoeuvre-Lès-Nancy, France. j.devignes@chu-nancy.fr
Summary
Systematic Willebrand factor testing before septorhinoplasty may prevent surgical bleeding complications. Early diagnosis of Willebrand disease (VWD) can improve patient outcomes and surgical results.
Area of Science:
- Hematology
- Otorhinolaryngology
Context:
- Willebrand disease (VWD) is often diagnosed late, typically after surgical hemorrhage.
- Current French guidelines do not mandate pre-operative VWD screening in the absence of a personal or familial bleeding history.
Purpose:
- To evaluate the benefits of pre-operative Willebrand factor (VWF) level assessment in patients undergoing septorhinoplasty.
- To highlight the potential for VWD to complicate septorhinoplasty and impact functional outcomes.
Summary:
- Three cases of septorhinoplasty complicated by hemorrhage due to undiagnosed VWD are presented.
- Routine coagulation tests were insufficient; VWF levels identified the deficiency.
- One patient experienced severe epistaxis post-surgery, necessitating revision surgery, underscoring the impact of uncontrolled bleeding.
Impact:
- Suggests that routine VWF level testing before septorhinoplasty is advantageous.
- Highlights that uncontrolled epistaxis can significantly impair the functional prognosis after septorhinoplasty.
- Emphasizes the importance of pre-operative screening for VWD in specific surgical contexts.
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