Treatment of recurrent epistaxis in HHT
UW Geisthoff, ML Fiorella… - Current pharmaceutical …, 2006 - ingentaconnect.com
UW Geisthoff, ML Fiorella, R Fiorella
Current pharmaceutical design, 2006•ingentaconnect.comNo optimal treatment modality is currently available for the treatment of recurrent epistaxis in
HHT. In this review, different therapeutic concepts are discussed together with their
pathophysiologic background. Patients often profess a preventive effect for nasal ointments
and use packings which can be self-administed in the case of bleeding. An effective first-line
treatment for physicians is the endonasal laser coagulation or argon plasma coagulation. A
second line surgical procedure is septodermoplasty according to Saunders which can …
HHT. In this review, different therapeutic concepts are discussed together with their
pathophysiologic background. Patients often profess a preventive effect for nasal ointments
and use packings which can be self-administed in the case of bleeding. An effective first-line
treatment for physicians is the endonasal laser coagulation or argon plasma coagulation. A
second line surgical procedure is septodermoplasty according to Saunders which can …
No optimal treatment modality is currently available for the treatment of recurrent epistaxis in HHT. In this review, different therapeutic concepts are discussed together with their pathophysiologic background. Patients often profess a preventive effect for nasal ointments and use packings which can be self-administed in the case of bleeding. An effective first-line treatment for physicians is the endonasal laser coagulation or argon plasma coagulation. A second line surgical procedure is septodermoplasty according to Saunders which can provide long-lasting relief if performed correctly. There have been reports on antifibrinolytic agents and hormones, but their efficacy has yet to be determined.
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