Nasal Reconstruction in Granulomatosis with Polyangiitis Using an L-shaped Cartilage Strut Graft

TL;DR

This paper presents a surgical technique using an L-shaped cartilage graft to reconstruct noses damaged by Granulomatosis with Polyangiitis, showing improved appearance and function.

Contribution

The novel contribution is the use of a modified L-shaped costal cartilage strut graft for nasal reconstruction in GPA patients.

Findings

Seven patients showed significant improvement in nasal aesthetics and respiratory function after surgery.

The L-shaped graft technique proved effective for correcting severe saddle nose deformity.

One patient experienced complications, but overall satisfaction was reported.

Abstract

Patients exhibited progressive saddle nose deformity as a result of GPA. To reconstruct the nose, a single-stage open rhinoplasty was conducted involving the placement of an independent L-shaped costal cartilage implant. Graft formation and fixation were performed according to the author-developed method.

From 2012 to 2023, seven patients with severe saddle nose deformity underwent implantation of modified L-shaped costal cartilage strut grafts. Except for one complicated case, all patients reported satisfaction with the surgical outcomes.

In this study, the visual appeal of the nose and the respiratory capabilities of the patients improved significantly. The L-shaped costal cartilage strut graft is an effective technique for saddle nose deformity correction. This technique provides excellent outcomes, including improved nasal function and aesthetics. Further studies with a larger sample size are needed to confirm these findings.

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