Saddle nose deformity reconstruction with autologous costal cartilage in Granulomatosis with Polyangiitis.

Miguel Mayo Yáñez, Juan Antonio Cabrera-Sarmiento, Alejandro Martínez-Morán

Resumen

Granulomatosis with Polyangiitis is an idiopathic necrotizing vasculitis which predominantly affects the upper respiratory system. Saddle nose deformity occurs in 10% to 25% of patients and obstruction of the nasolacrimal duct in 7% of patients. We present a case of a patient with Granulomatosis with Polyangiitis intervened of septorhinoplasty and endoscopic dacryocystorhinostomy to correct these two complications, what usually requires replacement of dorsal and columellar support and may be limited by deficits in the nasal lining. Open nasal reconstruction and lacrimal endoscopic surgery in patients affected by granulomatosis with polyangiitis seems to be safe and effective if the disease is in remission before any procedure.

Palabras clave

Granulomatosis with Polyangiitis; Saddle nose deformity; Septorhinoplasty; Dacryocystitis

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Referencias

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