Hereditary hemorrhagic telangiectasis treated by the harmonic scalpel
Background. Hereditary hemorrhagic telangiectasis (HTT) is a familial autosomal dominant genetic disorder that causes abnormalities of the wall of peripheral blood vessels. Severe nosebleed often is the dominant symptom. A variety of therapies have been proposed for epistaxis control in HHT but with...
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| Veröffentlicht in: | Head & neck 2003-04, Vol.25 (4), p.333-336 |
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| creator | Ishibashi, Toshio Takamatsu, Shunsuke |
| description | Background.
Hereditary hemorrhagic telangiectasis (HTT) is a familial autosomal dominant genetic disorder that causes abnormalities of the wall of peripheral blood vessels. Severe nosebleed often is the dominant symptom. A variety of therapies have been proposed for epistaxis control in HHT but with limited success.
Methods.
We report two cases of HHT in which recurrent nasal bleeding was successfully controlled using the Harmonic Scalpel.
Results.
Use of the Harmonic Scalpel avoids the carbonization and incrustation of the nasal mucosa that commonly results from electrocautery and laser irradiation. Even during active bleeding, hemostasis can be achieved by repeated applications of the scalpel blade.
Conclusion.
This method can be performed quick and reliably on an outpatient basis. The Harmonic Scalpel may be the treatment of choice for recurrent epistaxis in HHT. © 2003 Wiley Periodicals, Inc. Head Neck 25: 333–336, 2003 |
| doi_str_mv | 10.1002/hed.10201 |
| format | Article |
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Hereditary hemorrhagic telangiectasis (HTT) is a familial autosomal dominant genetic disorder that causes abnormalities of the wall of peripheral blood vessels. Severe nosebleed often is the dominant symptom. A variety of therapies have been proposed for epistaxis control in HHT but with limited success.
Methods.
We report two cases of HHT in which recurrent nasal bleeding was successfully controlled using the Harmonic Scalpel.
Results.
Use of the Harmonic Scalpel avoids the carbonization and incrustation of the nasal mucosa that commonly results from electrocautery and laser irradiation. Even during active bleeding, hemostasis can be achieved by repeated applications of the scalpel blade.
Conclusion.
This method can be performed quick and reliably on an outpatient basis. The Harmonic Scalpel may be the treatment of choice for recurrent epistaxis in HHT. © 2003 Wiley Periodicals, Inc. Head Neck 25: 333–336, 2003</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.10201</identifier><identifier>PMID: 12658738</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Biological and medical sciences ; Blood and lymphatic vessels ; Blood Coagulation ; Cardiology. Vascular system ; Diseases of the cardiovascular system ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Female ; Harmonic Scalpel ; hemostasis ; Hemostasis, Surgical - instrumentation ; Humans ; Medical sciences ; Middle Aged ; nose ; Nose Diseases - pathology ; Nose Diseases - surgery ; Osler disease ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Telangiectasia, Hereditary Hemorrhagic - pathology ; Telangiectasia, Hereditary Hemorrhagic - surgery ; ultrasonic coagulation ; Ultrasonic Therapy - instrumentation</subject><ispartof>Head & neck, 2003-04, Vol.25 (4), p.333-336</ispartof><rights>Copyright © 2003 Wiley Periodicals, Inc.</rights><rights>2003 INIST-CNRS</rights><rights>Copyright 2003 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3511-e69b9c763040e3e463a02c8040788c2283a015d392b6de1040d6a9720e1b76d83</citedby><cites>FETCH-LOGICAL-c3511-e69b9c763040e3e463a02c8040788c2283a015d392b6de1040d6a9720e1b76d83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.10201$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.10201$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14664244$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12658738$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ishibashi, Toshio</creatorcontrib><creatorcontrib>Takamatsu, Shunsuke</creatorcontrib><title>Hereditary hemorrhagic telangiectasis treated by the harmonic scalpel</title><title>Head & neck</title><addtitle>Head Neck</addtitle><description>Background.
Hereditary hemorrhagic telangiectasis (HTT) is a familial autosomal dominant genetic disorder that causes abnormalities of the wall of peripheral blood vessels. Severe nosebleed often is the dominant symptom. A variety of therapies have been proposed for epistaxis control in HHT but with limited success.
Methods.
We report two cases of HHT in which recurrent nasal bleeding was successfully controlled using the Harmonic Scalpel.
Results.
Use of the Harmonic Scalpel avoids the carbonization and incrustation of the nasal mucosa that commonly results from electrocautery and laser irradiation. Even during active bleeding, hemostasis can be achieved by repeated applications of the scalpel blade.
Conclusion.
This method can be performed quick and reliably on an outpatient basis. The Harmonic Scalpel may be the treatment of choice for recurrent epistaxis in HHT. © 2003 Wiley Periodicals, Inc. Head Neck 25: 333–336, 2003</description><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Coagulation</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the cardiovascular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Female</subject><subject>Harmonic Scalpel</subject><subject>hemostasis</subject><subject>Hemostasis, Surgical - instrumentation</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>nose</subject><subject>Nose Diseases - pathology</subject><subject>Nose Diseases - surgery</subject><subject>Osler disease</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Telangiectasia, Hereditary Hemorrhagic - pathology</subject><subject>Telangiectasia, Hereditary Hemorrhagic - surgery</subject><subject>ultrasonic coagulation</subject><subject>Ultrasonic Therapy - instrumentation</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLtOwzAUQC0EolAY-AGUBSSG0OtH7WREpVCkSiwwW45z2xglTbFTof49LolgYroPHd3HIeSKwj0FYJMKy5gwoEfkjEKuUuBCHR9ywVMOSozIeQgfAMClYKdkRJmcZopnZ2S-QI-l64zfJxU2rfeVWTubdFibzdqh7UxwIek8mg7LpNgnXYVJZXzTbiIWrKm3WF-Qk5WpA14OcUzen-Zvs0W6fH1-mT0sU8unlKYo8yK3SnIQgByF5AaYzWKlsswylsWaTkues0KWGK-HUppcMUBaKFlmfExu-7lb337uMHS6ccFiHW_Fdhe04pTluaQRvOtB69sQPK701rsmPqkp6IMzHZ3pH2eRvR6G7oomdn_JQVIEbgbAHP5debOxLvxxQkarQkRu0nNfrsb9_xv1Yv7Yr_4GUmeBAA</recordid><startdate>200304</startdate><enddate>200304</enddate><creator>Ishibashi, Toshio</creator><creator>Takamatsu, Shunsuke</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>John Wiley & Sons</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200304</creationdate><title>Hereditary hemorrhagic telangiectasis treated by the harmonic scalpel</title><author>Ishibashi, Toshio ; Takamatsu, Shunsuke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3511-e69b9c763040e3e463a02c8040788c2283a015d392b6de1040d6a9720e1b76d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Coagulation</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the cardiovascular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Female</topic><topic>Harmonic Scalpel</topic><topic>hemostasis</topic><topic>Hemostasis, Surgical - instrumentation</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>nose</topic><topic>Nose Diseases - pathology</topic><topic>Nose Diseases - surgery</topic><topic>Osler disease</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Telangiectasia, Hereditary Hemorrhagic - pathology</topic><topic>Telangiectasia, Hereditary Hemorrhagic - surgery</topic><topic>ultrasonic coagulation</topic><topic>Ultrasonic Therapy - instrumentation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ishibashi, Toshio</creatorcontrib><creatorcontrib>Takamatsu, Shunsuke</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ishibashi, Toshio</au><au>Takamatsu, Shunsuke</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hereditary hemorrhagic telangiectasis treated by the harmonic scalpel</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2003-04</date><risdate>2003</risdate><volume>25</volume><issue>4</issue><spage>333</spage><epage>336</epage><pages>333-336</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><abstract>Background.
Hereditary hemorrhagic telangiectasis (HTT) is a familial autosomal dominant genetic disorder that causes abnormalities of the wall of peripheral blood vessels. Severe nosebleed often is the dominant symptom. A variety of therapies have been proposed for epistaxis control in HHT but with limited success.
Methods.
We report two cases of HHT in which recurrent nasal bleeding was successfully controlled using the Harmonic Scalpel.
Results.
Use of the Harmonic Scalpel avoids the carbonization and incrustation of the nasal mucosa that commonly results from electrocautery and laser irradiation. Even during active bleeding, hemostasis can be achieved by repeated applications of the scalpel blade.
Conclusion.
This method can be performed quick and reliably on an outpatient basis. The Harmonic Scalpel may be the treatment of choice for recurrent epistaxis in HHT. © 2003 Wiley Periodicals, Inc. Head Neck 25: 333–336, 2003</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>12658738</pmid><doi>10.1002/hed.10201</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Biological and medical sciences Blood and lymphatic vessels Blood Coagulation Cardiology. Vascular system Diseases of the cardiovascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Female Harmonic Scalpel hemostasis Hemostasis, Surgical - instrumentation Humans Medical sciences Middle Aged nose Nose Diseases - pathology Nose Diseases - surgery Osler disease Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Telangiectasia, Hereditary Hemorrhagic - pathology Telangiectasia, Hereditary Hemorrhagic - surgery ultrasonic coagulation Ultrasonic Therapy - instrumentation |
| title | Hereditary hemorrhagic telangiectasis treated by the harmonic scalpel |
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