Resurfacing Endoscopic Free Flap for Hereditary Hemorrhagic Telangiectasia.
Publication/Presentation Date
6-7-2026
Abstract
BACKGROUND: Epistaxis related to hereditary hemorrhagic telangiectasia (HHT) can be life-threatening and decreases quality of life (QoL). Current medical and surgical options are limited, particularly in the advanced stages of the disease.
METHODS: We assess the feasibility and outcome of HHT-related epistaxis management by resurfacing the nasal cavity with an endoscopically placed free flap. The Epistaxis Severity Score (ESS) was compared to the preoperative score at one-year post-surgery.
RESULTS: The nasal cavity was successfully resurfaced with a radial forearm free flap. The ESS decreased from 8.9 to 3.5 one-year postoperatively.
CONCLUSION: Resurfacing endoscopic free flap (REFF) is a safe and effective procedure for the management of HHT-related epistaxis refractory to other treatment options. Nasal function is maintained, with a significant long-term decrease in epistaxis.
ISSN
1097-0347
Published In/Presented At
Haugen TW, Lesh RW, Desiato VM, Kovatch KJ, Purdy NC. Resurfacing Endoscopic Free Flap for Hereditary Hemorrhagic Telangiectasia. Head Neck. 2026 Jun 7. doi: 10.1002/hed.70341. Epub ahead of print. PMID: 42252661.
Disciplines
Medicine and Health Sciences
PubMedID
42252661
Department(s)
Department of Surgery, Division of Otolaryngology
Document Type
Article