High septal osteotomy in rhinoplasty for the deviated nose.

When attempting to straighten a patient's healed, deviated bony nasal dorsum, deviation of the central structure (high dorsal septum and medial nasal bones) must be addressed following the completion of medial and lateral osteotomies. When hump resection is not performed, blunt fracture (digitally or with forceps) of the deviated central structure is not a reliable method of mobilization, often leading to postoperative nasal drift. An intranasal osteotomy technique to mobilize the central structure of the nose is described, called "high septal osteotomy.

Hormonal and antihormonal therapy for epistaxis in hereditary hemorrhagic telangiectasia.

Objectives/hypothesis: Objectives were to assess available information on hormonal therapy for bleeding in hereditary hemorrhagic telangiectasia (HHT), to determine whether there is a role for hormonal therapy as an initial therapeutic option, and to report the second known case of response in HHT to antihormonal therapy.

Study Design: Literature review and case report.

Methods: The literature on hormonal and antihormonal therapy for HHT was reviewed.