title: The use of a nasal obturator in hereditary haemorrhagic telangiectasia: an alternative to Young's procedure.
abstract: Epistaxis associated with hereditary haemorrhagic telangiectasia (HHT) is a challenging condition. Septodermoplasty, electrocautery and laser treatment often provide short-term relief only. The surgical closure of the nostrils ('Young's procedure') represents a longer term solution but has the disadvantage of causing permanent complete nasal obstruction. A Silastic obturator has the advantage of being a non-surgical intervention and allows temporary relief of the nasal obstruction. We present the cases of three patientswith HHT who used the obturator with good clinical effect, suggesting that this is a realistic non-surgical alternative to Young's procedure for patients with HHT.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Royal Hallamshire Hospital, Sheffield, UK.
authors.forename: T J
authors.initials: TJ
authors.lastname: Woolford
authors.forename: D
authors.initials: D
authors.lastname: Loke
authors.forename: N D
authors.initials: ND
authors.lastname: Bateman
mesh_terms: D000328:Adult; D000368:Aged; D004844:Epistaxis / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008297:Male; D013506:Otologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000601:surgery*; D016896:Treatment Outcome