Document Detail

Tumefactive cartilage proliferation after rhinoplasty. A newly reported complication.
MedLine Citation:
PMID:  9006507     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe and document the development of tumoral proliferation of cartilage in 4 patients after nasal surgery, a complication that, to our knowledge, has not been reported before. DESIGN: Similar postoperative nasal masses were excised from 4 patients who underwent rhinoplasty. Histopathologic evaluation was carried out to identify the nature of the lesions and to provide a basis for rational management of similar lesions subsequently encountered. SETTING: Academic tertiary referral center. PARTICIPANTS: Four healthy patients (3 women and 1 man) ranging in age from 21 to 49 years. Two of the patients underwent routine rhinoplasty with resection of cephalic margins of alar cartilages, and 2 underwent augmentation procedures with implantation of auricular cartilage. INTERVENTION: Discrete firm masses were excised from each patient's nose approximately 1 year after the most recent rhinoplastic procedure was performed. Histological evaluation was carried out on each specimen. RESULTS: All 4 masses were found to consist of tumefactive proliferation of cartilage. Clonal proliferation and mild nuclear atypia were observed. CONCLUSIONS: After rhinoplasty, progressive asymmetrical fullness in or adjacent to cartilaginous structures or graft material should suggest the possibility of tumefactive proliferation of cartilage and should be evaluated with surgical exploration. All areas of thickened cartilage should be excised completely, with immediate auricular cartilage reconstruction of resulting anatomical defects. Perichondrium should be completely removed from auricular cartilage implants in the nose, and mechanical injury to the graft should be minimized. We strongly caution against morsellizing dorsal cartilage implants for nasal reconstruction.
D Reiter; B Peters; J Amsberry; P McCue
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of otolaryngology--head & neck surgery     Volume:  123     ISSN:  0886-4470     ISO Abbreviation:  Arch. Otolaryngol. Head Neck Surg.     Publication Date:  1997 Jan 
Date Detail:
Created Date:  1997-02-12     Completed Date:  1997-02-12     Revised Date:  2006-03-28    
Medline Journal Info:
Nlm Unique ID:  8603209     Medline TA:  Arch Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  72-5     Citation Subset:  AIM; IM    
Department of Otolaryngology-Head and Neck Surgery, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pa, USA.
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MeSH Terms
Cartilage Diseases / etiology*,  pathology
Middle Aged
Nose / pathology,  surgery
Rhinoplasty / adverse effects*

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

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