Total Nasal Skeletal Reconstruction Disfigured by Granulomatosis with Polyangitis (Wegener Granulomatosis)

Background: Nasal deformity is a common disorder in Wegener granulomatosis, which is produced by polyangitis of medium-sized vessels. This process may cause necrosis and destruction of the nasal mucosa and osteocartilaginous framework. At this time, there is a lack of published data on nasal deformi...
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Autor*in:	Farhad Hafezi, MD [verfasserIn] Bijan Naghibzadeh, MD [verfasserIn] Abbas Kazemi Ashtiani, MD [verfasserIn] Amir Hossein Nouhi, MD [verfasserIn] Ghazal Naghibzadeh [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Übergeordnetes Werk:	In: Plastic and Reconstructive Surgery, Global Open - Wolters Kluwer, 2015, 3(2015), 2, p e308
Übergeordnetes Werk:	volume:3 ; year:2015 ; number:2, p e308

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1097/GOX.0000000000000278

Katalog-ID:	DOAJ065460855

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allfieldsGer	10.1097/GOX.0000000000000278 doi (DE-627)DOAJ065460855 (DE-599)DOAJ869189404daa4573931b6565ccbf5bc0 DE-627 ger DE-627 rakwb eng RD1-811 Farhad Hafezi, MD verfasserin aut Total Nasal Skeletal Reconstruction Disfigured by Granulomatosis with Polyangitis (Wegener Granulomatosis) 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Nasal deformity is a common disorder in Wegener granulomatosis, which is produced by polyangitis of medium-sized vessels. This process may cause necrosis and destruction of the nasal mucosa and osteocartilaginous framework. At this time, there is a lack of published data on nasal deformities associated with Wegener granulomatosis. Methods: We present a 53-year-old woman with completely necrotized nasal lining and osteocartilage. The patient had a history of granulomatosis with polyangitis that was currently in remission. We reconstructed the patient’s nose with fifth and sixth rib cartilages over 3 successive surgeries over a 2-year period. Results: During the 3-year follow-up period, neither infection nor significant cartilage graft resorption was observed, and the aesthetic result was acceptable both to the patient and her physicians. Conclusions: In spite of contamination to the nasal lining and immune-compromising medications, nasal reconstruction is usually successful when considering these factors. Access to strong and abundant fifth or sixth rib cartilage presents an opportunity to reconstruct nasal destruction due to iatrogenic or autoimmune processes. Surgery Bijan Naghibzadeh, MD verfasserin aut Abbas Kazemi Ashtiani, MD verfasserin aut Amir Hossein Nouhi, MD verfasserin aut Ghazal Naghibzadeh verfasserin aut In Plastic and Reconstructive Surgery, Global Open Wolters Kluwer, 2015 3(2015), 2, p e308 (DE-627)751525340 (DE-600)2723993-7 21697574 nnns volume:3 year:2015 number:2, p e308 https://doi.org/10.1097/GOX.0000000000000278 kostenfrei https://doaj.org/article/869189404daa4573931b6565ccbf5bc0 kostenfrei http://journals.lww.com/prsgo/Fulltext/2015/02000/Article.12.aspx kostenfrei https://doaj.org/toc/2169-7574 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2758 GBV_ILN_2869 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2015 2, p e308
allfieldsSound	10.1097/GOX.0000000000000278 doi (DE-627)DOAJ065460855 (DE-599)DOAJ869189404daa4573931b6565ccbf5bc0 DE-627 ger DE-627 rakwb eng RD1-811 Farhad Hafezi, MD verfasserin aut Total Nasal Skeletal Reconstruction Disfigured by Granulomatosis with Polyangitis (Wegener Granulomatosis) 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Nasal deformity is a common disorder in Wegener granulomatosis, which is produced by polyangitis of medium-sized vessels. This process may cause necrosis and destruction of the nasal mucosa and osteocartilaginous framework. At this time, there is a lack of published data on nasal deformities associated with Wegener granulomatosis. Methods: We present a 53-year-old woman with completely necrotized nasal lining and osteocartilage. The patient had a history of granulomatosis with polyangitis that was currently in remission. We reconstructed the patient’s nose with fifth and sixth rib cartilages over 3 successive surgeries over a 2-year period. Results: During the 3-year follow-up period, neither infection nor significant cartilage graft resorption was observed, and the aesthetic result was acceptable both to the patient and her physicians. Conclusions: In spite of contamination to the nasal lining and immune-compromising medications, nasal reconstruction is usually successful when considering these factors. Access to strong and abundant fifth or sixth rib cartilage presents an opportunity to reconstruct nasal destruction due to iatrogenic or autoimmune processes. Surgery Bijan Naghibzadeh, MD verfasserin aut Abbas Kazemi Ashtiani, MD verfasserin aut Amir Hossein Nouhi, MD verfasserin aut Ghazal Naghibzadeh verfasserin aut In Plastic and Reconstructive Surgery, Global Open Wolters Kluwer, 2015 3(2015), 2, p e308 (DE-627)751525340 (DE-600)2723993-7 21697574 nnns volume:3 year:2015 number:2, p e308 https://doi.org/10.1097/GOX.0000000000000278 kostenfrei https://doaj.org/article/869189404daa4573931b6565ccbf5bc0 kostenfrei http://journals.lww.com/prsgo/Fulltext/2015/02000/Article.12.aspx kostenfrei https://doaj.org/toc/2169-7574 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2758 GBV_ILN_2869 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 3 2015 2, p e308
language	English
source	In Plastic and Reconstructive Surgery, Global Open 3(2015), 2, p e308 volume:3 year:2015 number:2, p e308
sourceStr	In Plastic and Reconstructive Surgery, Global Open 3(2015), 2, p e308 volume:3 year:2015 number:2, p e308
format_phy_str_mv	Article
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topic_facet	Surgery
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container_title	Plastic and Reconstructive Surgery, Global Open
authorswithroles_txt_mv	Farhad Hafezi, MD @@aut@@ Bijan Naghibzadeh, MD @@aut@@ Abbas Kazemi Ashtiani, MD @@aut@@ Amir Hossein Nouhi, MD @@aut@@ Ghazal Naghibzadeh @@aut@@
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callnumber-first	R - Medicine
author	Farhad Hafezi, MD
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topic_title	RD1-811 Total Nasal Skeletal Reconstruction Disfigured by Granulomatosis with Polyangitis (Wegener Granulomatosis)
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title	Total Nasal Skeletal Reconstruction Disfigured by Granulomatosis with Polyangitis (Wegener Granulomatosis)
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title_full	Total Nasal Skeletal Reconstruction Disfigured by Granulomatosis with Polyangitis (Wegener Granulomatosis)
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title_sort	total nasal skeletal reconstruction disfigured by granulomatosis with polyangitis (wegener granulomatosis)
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title_auth	Total Nasal Skeletal Reconstruction Disfigured by Granulomatosis with Polyangitis (Wegener Granulomatosis)
abstract	Background: Nasal deformity is a common disorder in Wegener granulomatosis, which is produced by polyangitis of medium-sized vessels. This process may cause necrosis and destruction of the nasal mucosa and osteocartilaginous framework. At this time, there is a lack of published data on nasal deformities associated with Wegener granulomatosis. Methods: We present a 53-year-old woman with completely necrotized nasal lining and osteocartilage. The patient had a history of granulomatosis with polyangitis that was currently in remission. We reconstructed the patient’s nose with fifth and sixth rib cartilages over 3 successive surgeries over a 2-year period. Results: During the 3-year follow-up period, neither infection nor significant cartilage graft resorption was observed, and the aesthetic result was acceptable both to the patient and her physicians. Conclusions: In spite of contamination to the nasal lining and immune-compromising medications, nasal reconstruction is usually successful when considering these factors. Access to strong and abundant fifth or sixth rib cartilage presents an opportunity to reconstruct nasal destruction due to iatrogenic or autoimmune processes.
abstractGer	Background: Nasal deformity is a common disorder in Wegener granulomatosis, which is produced by polyangitis of medium-sized vessels. This process may cause necrosis and destruction of the nasal mucosa and osteocartilaginous framework. At this time, there is a lack of published data on nasal deformities associated with Wegener granulomatosis. Methods: We present a 53-year-old woman with completely necrotized nasal lining and osteocartilage. The patient had a history of granulomatosis with polyangitis that was currently in remission. We reconstructed the patient’s nose with fifth and sixth rib cartilages over 3 successive surgeries over a 2-year period. Results: During the 3-year follow-up period, neither infection nor significant cartilage graft resorption was observed, and the aesthetic result was acceptable both to the patient and her physicians. Conclusions: In spite of contamination to the nasal lining and immune-compromising medications, nasal reconstruction is usually successful when considering these factors. Access to strong and abundant fifth or sixth rib cartilage presents an opportunity to reconstruct nasal destruction due to iatrogenic or autoimmune processes.
abstract_unstemmed	Background: Nasal deformity is a common disorder in Wegener granulomatosis, which is produced by polyangitis of medium-sized vessels. This process may cause necrosis and destruction of the nasal mucosa and osteocartilaginous framework. At this time, there is a lack of published data on nasal deformities associated with Wegener granulomatosis. Methods: We present a 53-year-old woman with completely necrotized nasal lining and osteocartilage. The patient had a history of granulomatosis with polyangitis that was currently in remission. We reconstructed the patient’s nose with fifth and sixth rib cartilages over 3 successive surgeries over a 2-year period. Results: During the 3-year follow-up period, neither infection nor significant cartilage graft resorption was observed, and the aesthetic result was acceptable both to the patient and her physicians. Conclusions: In spite of contamination to the nasal lining and immune-compromising medications, nasal reconstruction is usually successful when considering these factors. Access to strong and abundant fifth or sixth rib cartilage presents an opportunity to reconstruct nasal destruction due to iatrogenic or autoimmune processes.
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title_short	Total Nasal Skeletal Reconstruction Disfigured by Granulomatosis with Polyangitis (Wegener Granulomatosis)
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author2	Bijan Naghibzadeh, MD Abbas Kazemi Ashtiani, MD Amir Hossein Nouhi, MD Ghazal Naghibzadeh
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Total Nasal Skeletal Reconstruction Disfigured by Granulomatosis with Polyangitis (Wegener Granulomatosis)

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