The management of epistaxis in patients with hereditary haemorrhagic t
elangiectasia (Osler-Weber-Rendu) is often a perplexing problem. In th
e past, cautery, cryosurgery, and septodermoplasty have all been used
with varying degrees of success. The Candela flashlamp-pulsed dye lase
r was developed for management of vascular lesions (port-wine stains a
nd telangiectasia). The results of our prospective trial utilizing thi
s laser in the treatment of intranasal telangiectasia in patients with
hereditary haemorrhagic telangiectasia are presented.