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December 1987

Surgical Management of Epistaxis

Author Affiliations

Bloomingdale, Ill

Arch Otolaryngol Head Neck Surg. 1987;113(12):1338. doi:10.1001/archotol.1987.01860120084015

To the Editor.—This letter is in reference to the recent article in the Archives by Zohar et al1 regarding surgical management of epistaxis in Osler-Weber-Rendu disease. Recently, a 65-year-old man was admitted to our institution with a history of chronic epistaxis over the past 20 years, requiring dozens of transfusions, bilateral septal dermoplasty, and ligation of the major vessels of the neck. Despite this, he has had recurrent epistaxis and was admitted to our institution with uncontrollable epistaxis. It was packed off and on at three different times over a threeweek period, but continued to bleed. We had recently reviewed your article and discussed this procedure with the patient as a viable option. He was anxious for the surgery, and, as a result, we did proceed with bilateral lateral rhinotomies with excision of residual nasal-septal and cavity mucosa with reconstruction of the interior of the nose using bilateral

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