[Current treatment of Rendu-Osler disease, excluding radiation].
All the methods available to O.-R.-L. practitioners for the treatment of epistaxis in Rendu-Osler disease are reviewed. In an emergency, gentleness is essential. Over the long term, procrastination for as long as possible is advisable. Super-selective arteriography and embolization are of great value in an emergency and can give some good long-term results. In fact, there is not one exclusive curative therapy. Estrogenotherapy has its advocates. Saunder's dermoplasty gives variable results, but these can be improved upon if a broad access route is used and dermoplasty extended to above and behind the nasal fossae. Because of its aggressive nature, irradiation must be kept as a last resort.
D001803:Blood Transfusion; D003452:Cryosurgery; D004621:Embolization, Therapeutic; D004844:Epistaxis / Q000188:drug therapy / Q000209:etiology* / Q000628:therapy; D006489:Hemostatic Techniques; D006801:Humans; D008722:Methods; D013630:Tampons, Surgical; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications / Q000188:drug therapy / Q000628:therapy*
Thérapeutiques actuelles de la maladie de Rendu-Osler, à l'exception des radiations