Document Detail


Detailed analysis of graft techniques for nasal reconstruction following Wegener granulomatosis.
MedLine Citation:
PMID:  22420435     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Saddle nose deformity secondary to Wegener granulomatosis (WG) presents a significant challenge for the reconstructive surgeon. Various grafting options have been proposed, but achieving good outcomes can be difficult.
METHODS: We conducted a retrospective analysis of 10 patients with WG who underwent reconstruction of saddle nose deformities by the senior author (A.G.) between 2005 and 2009. All patients were reconstructed using costal cartilage grafts.
RESULTS: Primary surgery was functionally and cosmetically successful in 8 of 10 patients. Two patients experienced complications (graft resorption and columellar necrosis) requiring revision surgery; subsequently, they achieved good outcomes, with no further complications. There were no complications at the costal cartilage donor site. At the conclusion of the study, all patients were satisfied with their reconstructions.
CONCLUSIONS: With a multidisciplinary team approach to pre- and postoperative patient management and careful surgical technique, reliable and excellent functional and cosmetic outcomes can be achieved with costal cartilage grafts.
Authors:
Ali Sepehr; Ashlin J Alexander; Nitin Chauhan; Andres Gantous
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale     Volume:  40     ISSN:  1916-0216     ISO Abbreviation:  J Otolaryngol Head Neck Surg     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2012-03-16     Completed Date:  2012-08-31     Revised Date:  2013-04-10    
Medline Journal Info:
Nlm Unique ID:  101479544     Medline TA:  J Otolaryngol Head Neck Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  473-80     Citation Subset:  IM    
Affiliation:
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, University of Toronto.
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MeSH Terms
Descriptor/Qualifier:
Adult
Esthetics
Female
Humans
Male
Middle Aged
Nose Deformities, Acquired / surgery*
Postoperative Complications / etiology,  surgery
Reoperation
Retrospective Studies
Rhinoplasty / methods*
Wegener Granulomatosis / surgery*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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