title: Vestibular closure with a silastic obturator--an alternative to Young's procedure in bleeding diathesis.
abstract: Epistaxis is a common and difficult problem to manage in patients with bleeding disorders. We present a case of recurrent epistaxis in a patient with Bernard-Soulier syndrome (a platelet disorder) and describe a non-invasive but effective method of closing the nasal vestibule using a silastic obturator thus preventing the drying effects of airflow on the nasal mucosa which may precipitate epistaxis in patients with a bleeding diathesis.
authors.affiliation: University Department of Otolaryngology, Head and Neck Surgery, Manchester Royal Infirmary, UK.
authors.forename: C J
authors.initials: CJ
authors.lastname: Lobo
authors.forename: C
authors.initials: C
authors.lastname: Hartley
authors.forename: W T
authors.initials: WT
authors.lastname: Farrington
mesh_terms: D000328:Adult; D001606:Bernard-Soulier Syndrome / Q000150:complications*; D004844:Epistaxis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D009666:Nose; D019736:Prostheses and Implants; D011474:Prosthesis Design; D012008:Recurrence; D016896:Treatment Outcome