[Treatment of recurrent nose bleeding caused by Rendu-Osler-Weber's disease in patients treated at the ENT department of the Regional Hospital in Opole]

Abstract

The authors describe a method of surgical treatment of nosebleeds caused by Rendu-Osler-Weber's disease. Free skin graft of the thigh region was used for closure of nasal septal defects. A new dermatoplasty technique allows to cover both sides of the nasal septum with a single skin graft. The diseased septal mucosa is denuded with a scalpel, but the underlying perichondrium is preserved. Excellent exposure of the nasal septum is obtained via a modified external rhinoplasty approach. This new dermatoplasty technique described by dr Bridger is a modification of traditional Saunders dermatoplasty. In three patients treated by this method at our department the transplantation ended successful.