Long-term complications of septal dermoplasty in patients with hereditary hemorrhagic telangiectasia

Corinna G. Levine, Douglas A. Ross, Katharine J. Henderson, Steven B. Leder, Robert I. White

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Objective: Septal dermoplasty has been recommended as the treatment of choice for life-threatening epistaxis in patients with hereditary hemorrhagic telangiectasia. This study evaluates the complications of septal dermoplasty in the management of transfusion-dependent epistaxis. Study Design: Consecutive retrospective study. Subjects and Methods: Between 1994 and 2006, septal dermoplasty was performed on 106 consecutive patients with transfusion dependent epistaxis. Of 103 potential patients, 37 either died or were lost to follow-up, which left 66 patients for study. Data on complications and quality of life were collected on 50 (76%) of 66 patients (mean follow-up, 3.75 years) via phone interview. Results: Seventy-eight percent experienced nasal odor; 72% had nasal crusting; 58% had decreased sense of smell; 30% noted worsened sinus infection; 88% could breathe through their nose; 86% stated improved quality of life. Conclusion: Septal dermoplasty remains an effective way of treating transfusion dependent epistaxis in patients with hereditary hemorrhagic telangiectasia and subjectively improves their quality of life.

Original languageEnglish (US)
Pages (from-to)721-724
Number of pages4
JournalOtolaryngology - Head and Neck Surgery
Volume138
Issue number6
DOIs
StatePublished - Jun 1 2008
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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