KMID : 0602920110170010047
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Journal of the Korean Society of Aesthetic Plastic Surgery 2011 Volume.17 No. 1 p.47 ~ p.50
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Correction of Saddle Nose Deformity in Wegener¡¯s Granulomatosis
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Oh Sang-Ha
Kim Joo-Hak Kim Jin-Man Song Seung-Han
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Abstract
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The nasal manifestations of the Wegener¡¯s granulomatosis commonly in destruction of the cartilaginous support of the nose and a severe saddle nose deformity. It is so difficult to correct the saddle nose deformity because surgeons have fear about relapse of the Wegener¡¯s granulomatosis and cannot use the septal cartilage as a donor site. However we reconstructed the deformity with chondro-osseous rib graft successfully. A 49-year-old woman had a saddle nose deformity after resecting Wagener¡¯s granulomatosis, and suffered from not only aesthetic problem but also dyspnea and nasal airway obstruction while physical exercise. She underwent a rhinoplasty with rib graft. The correction came out to be successful and the nasal airway complaint was resolved. She had a recurrence of Wegener¡¯s granulomatosis at postoperative 6 months and was admitted for medical treatment of the inflammation at the nasal septum. The follow-up computed tomographic image study revealed good maintenance of the graft. Saddle nose deformity that arises from Wagener¡¯s granulomatosis should be reconstructed with chondro-osseous rib graft. Even though the disease might recur, influence to the grafted cartilage is minimal. Active treatment with plastic surgery is thought to be no problem for reconstruction.
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KEYWORD
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Wegener¡¯s granulomatosis, Acquired nose deformities, Rhinoplasty, Rib, Bone grafting
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