A case of Rendu-Osler-Weber disease with septal perforation treated with facial artery musculomucosal (FAMM) flap and septal dermoplasty

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• A 69-year-old female was referred to our clinic with recurrent nasal bleeding and resultant anemia (Hb 7.3 g/dl) . The patient had septal perforation as a result of frequent laser vaporization and the margins of the perforation were the sources of nasal bleeding. She had teleangiectatic lesions on her tongue, positive Rumpel-Leede test, and a brother with similar episodes of nasal bleeding, so she was diagnosed as having hereditary hemorrhagic telangiectasia (HHT or Rendu-Osler-Weber disease). To treat the septal perforation as well as recurrent nasal bleeding, the anterior aspects of the nasal septal mucosa were denuded and replaced with a facial artery musculomucosal (FAMM) flap on the left side, and with a split thick skin on the right side. She is now almost free from nasal bleeding. The FAMM flap is useful for treating patients with HHT especially with septal perforation.

• 特定非営利活動法人 日本頭頸部外科学会の論文

特定非営利活動法人 日本頭頸部外科学会 | 論文

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