Treatment of choice in recurrent epistaxis in a patient with hereditary hemotelangiectasis:: (A) Anterior ethmoidal aery ligation, (B) Septal dermatoplasty, (C) External carotid aery ligation, (D) Internal carotid aery ligation
Answer is B. Hereditary hemotelangiectasia (HHT) or Osler-Weber-Rendu disease is an autosomal dominant condition affecting blood vessels in the skin, mucous membranes and viscera The genetic abnormality is located to chromosome 9 and 12 Classical features: Telangiectasia AN malformations Aneurysms Recurrent epistaxis (seen in 93% cases)