<prompt> Treatment of choice in recurrent epistaxis in a patient with hereditary hemorrhagic telengiectasis:Anterior ethmoidal aery ligationSeptal dermoplastyExternal carotid aery ligationInternal carotid aery ligation  <response>: Hereditary haemorrhagic telangiectasia HHT or Osler-Weber-Rendu disease Autosomal dominant Affects blood vessels in skin, mucous membranes and viscera. Chromosome9q HHT1 and chromosome 12q HHT2 Curacao Criteriaa. Telangiectasia, b. A-V malformationsand aneurysmsc. Recurrent epistaxis occurs in 93 ofcases.d. Positive family history in first degree relatives. Rx-:a. Packingb. Cauteryc. Antifibrinolyticsd. Systemic or topical oestrogense. Coagulative lasersf. Septal dermoplasty Treatment of Choiceg. Ligation and embolization h. Last reso permanent surgical closure of the nostrilsYoungs operationi. Laser photocoagulation with NdYAG, Argon and KTP532 Lasers 