Endoscopic-Guided Coblation Treatment of Nasal Telangiectasias in Hereditary Hemorrhagic Telangiectasia: “How I do it”

Abstract

Introduction Hereditary hemorrhagic telangiectasia (HHT) is an autosomal dominant disease that leads to frequent epistaxis. It can have a significant impact on quality of life. Many reports exist regarding various therapies to address the epistaxis. Materials and Methods We presented our technique for addressing the epistaxis associated with HHT. Results Patients are treated in the operating room while they are under general anesthesia. A local anesthetic is injected sublabially, and oxymetazoline is dripped into the nose. The coblation wand is used to treat the telangiectasias. Bevacizumab is then injected into the nasal cavity bilaterally. Conclusion The coblation wand, with or without adjunctive bevacizumab injection, is a technically feasible intervention for patients with HHT that all providers can perform.