This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: ENT
Treatment of choice in recurrent epistaxis in a patient with hereditary hemotelangiectasis: 
Select and explain. 
A. Anterior ethmoidal aery ligation, B. Septal dermatoplasty, C. External carotid aery ligation, D. Internal carotid aery ligation
B: Septal dermatoplasty
Answer: B: Septal dermatoplasty 
Explanation: 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)