title: Reversal of Young's procedure in hereditary haemorrhagic telangiectasia.
abstract: BACKGROUND
  Hereditary haemorrhagic telangiectasia is an autosomal dominant condition characterised by multiple venous malformations of the skin and mucous membranes which can bleed on contact. A Young's procedure is used to control severe epistaxis in patients with this condition. However, there has been no previous report of a reversal of Young's procedure in such a patient.
  
  
  OBJECTIVE
  A patient with hereditary haemorrhagic telangiectasia had his Young's procedure reversed under general anaesthetic by dividing the mucocutaneous flaps. Nasal vestibule patency was maintained using a custom-made silicone nasal mould. Intra-operative photographs show the patient's nasal mucosa shortly following reversal of his Young's procedure, and also illustrate the creation of the custom-made nasal mould.
  
  
  CONCLUSIONS
  Stopping airflow through the nasal cavity via a Young's procedure prevents the telangiectasia from bleeding but does not make them disappear completely. Young's procedure does not seem to have any long-lasting effect on the nasal mucosa of patients with hereditary haemorrhagic telangiectasia.
authors.affiliation: Department of Otolaryngology, NHS Greater Glasgow and Clyde, New Victoria Hospital, Glasgow, Scotland, UK. n.oozeer@googlemail.com
authors.forename: N B
authors.initials: NB
authors.lastname: Oozeer
authors.forename: B J
authors.initials: BJ
authors.lastname: Bingham
mesh_terms: D004844:Epistaxis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000601:surgery*; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000601:surgery*; D016896:Treatment Outcome