Radiofrequency Ablation for Treatment of Hereditary Hemorrhagic Telangiectasia Lesions: “How I do it”
Bibliographic record
Abstract
INTRODUCTION: Hereditary hemorrhagic telangiectasia (HHT) can cause significant epistaxis for those that suffer from it. Traditaional surgical treatments are ablative and can cause thermal damage. Radiofrequency (RF) energy can potentially be used to ablate HHT plaques at a lower temperature. In this article we describe our use of RF energy to treat HHT. METHODS: A Coblation Evac70 wand was used with patients under general anesthetic to ablate visible lesions. The surgical technique is described in detail. RESULTS: Thirty-seven patients have been treated over a 3-year time span showing significant improvement in epistaxis severity as measured by the Epistaxis Severity Score. There were three septal perforations that developed, but these were all in patients who had undergone several prior septal cauteries. CONCLUSION: RF energy via Coblation is an effective and safe means of surgically treating HHT lesions, with good epistaxis severity improvement and minimal patient morbidity.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".