You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Treatment of choice in recurrent epistaxis in a patient with hereditary hemorrhagic telengiectasis: and explain in detail?
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 Choice)g. Ligation and embolization h. Last reso permanent surgical closure of the nostrils(Young's operation)i. Laser photocoagulation with NdYAG, Argon and KTP532 Lasers