Description

Mahoney and Shapshay proposed a classification of nasal vasculature patterns seen in patients with hereditary hemorrhagic telangiectasia (HHT). The pattern correlates with the severity of bleeding and the response to therapy. The authors are from Boston University Medical Center.


Vasculature Pattern

Class

punctate telangiectasias

I

individual, small arteriovenous malformation (AVM)

I

diffuse, interconnecting AVM with feeder vessels

II

large, solitary AVM

III

 

 

Class

Recommended Therapy

I

Nd-YAG laser

II

dermoplasty

III

Nd-YAG laser

 


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