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Coblation for epistaxis management in patients with hereditary haemorrhagic telangiectasia: a multicentre case series
H Joshi1, B A Woodworth, A S Carney
1Department of Otolaryngology - Head and Neck Surgery, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia. joshihims@gmail.com
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.
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