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1 results

  • Reversal of Young's procedure in hereditary haemorrhagic telangiectasia

  • N B Oozeer, B J Bingham
  • Journal:
    The Journal of Laryngology & Otology / Volume 126 / Issue 11 / November 2012
    Published online by Cambridge University Press:
    29 August 2012, pp. 1169-1171
    Print publication:
    November 2012
  • 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.

    Conclusion:

    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.