Guidelines of the French Society of Otorhinolaryngology (SFORL) (short version). Specific treatment of epistaxis in Rendu-Osler-Weber disease

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• 作者：L. Robard^a ; ^{robard-l@chu-caen.fr} ; J. Michel^b ; V. Pruliè ; re Escabasse^c ; E. Bequignon^c ; B. V&eacute ; rillaud^d ; O. Malard^e ; L. Crampette^f ; The SFORL Work-GroupO. Malard^g ; L. Crampette^h ; M. Achacheⁱ ; M.Y. Alaoui Lamrani^j ; L. Ardillon^k ; E. Babin^l ; C. Bal Dit Sollier^j ; E. Bequignon^m ; M. Borsikⁿ ; L. Castillo^o ; A. Coste^m ; C. Debry^p ; P. Dessiⁱ ; L. Drouet^j ; X. Dufour^q ; S. Dupuis-Girod^r ; F. Faure^r ; P. Gallet^s ; R. Guldman^p ; E. Houdart^j ; R. Jankowski^s ; F. Jegoux^t ; S. Leble^t ; J. Michelⁱ ; G. Mortuaire^u ; E. Mouchon^v ; C. Page^w ; V. Pruliere Escabasse^m ; L. Robard^l ; A. Roux^k ; J.P. Saint Maurice^j ; G. Sarlonⁱ ; V. Strunski^w ; V. Trevillot^h ; B. Verillaud^u ; P. Vironneau^j
• 关键词：Epistaxis ; Rendu-Osler-Weber disease ; Anemia ; Reference center
• 刊名：European Annals of Otorhinolaryngology, Head and Neck Diseases
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：134
• 期：1
• 页码：37-41
• 全文大小：438 K
• 卷排序：134

文摘

The authors present the guidelines of the French Oto-Rhino-Laryngology – Head and Neck Surgery Society (Société Française d’Oto-Rhino-Laryngologie et de Chirurgie de la Face et du Cou: SFORL) concerning specific treatment of epistaxis in Rendu-Osler-Weber disease.MethodsA multidisciplinary work-group was entrusted with a review of the scientific literature on the above topic. Guidelines were drawn up, based on the articles retrieved and the group members’ individual experience. They were then read over by an editorial group independent of the work group. The final version was established in a coordination meeting. The guidelines were graded as A, B, C or expert opinion, by decreasing level of evidence.ResultsRendu-Osler-Weber disease is diagnosed from the presence of at least three of Curaçao's four criteria. In acute epistaxis, bidigital compression is recommended. Embolization is reserved for resistant epistaxis. Non-resorbable nasal packing and cauterization are contraindicated. Patient education is essential. Telangiectasia of the nasal mucosa can be treated by various local means. In the event of insufficient control, systemic administration of tranexamic acid is recommended.