What is the role of septal dermoplasty in the treatment of Osler-Weber-Rendu disease (OWRD) (hereditary hemorrhagic telangiectasia [HHT])?

Updated: Oct 06, 2020
  • Author: Klaus-Dieter Lessnau, MD, FCCP; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

Septal dermoplasty can reduce the severity of epistaxis by 75%. This procedure involves replacing the nasal mucosa with autologous skin grafts. Telangiectasias may also develop on the autologous skin grafts, however. Septal dermoplasty decreases the need for, but does not obviate, repeated laser ablation. [110] Septectomy combined with septal dermoplasty may also be a viable option for patients with severe transfusion-dependent epistaxis. [111]


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