Arch Craniofac Surg.  2019 Oct;20(5):341-344. 10.7181/acfs.2019.00437.

Reconstructive rhinoplasty with costal cartilage grafting: A case report of relapsing polychondritis

• Lee Y
• Choi H

• KMID: 2462492
• DOI: http://doi.org/10.7181/acfs.2019.00437

Abstract

Relapsing polychondritis (RP) is a rare autoimmune disorder of unknown etiology characterized by recurrent episodes of inflammation and the destruction of cartilaginous tissues, primarily involving the ear, nose, and the respiratory tract. Nasal chondritis is present in 24% of patients at the time of diagnosis and develops subsequently in 53% throughout the diseases progress. Progressive destruction of nasal cartilage leads to the characteristic flattening of the nasal bridge, resulting in the saddle nose deformity. In patients with RP, surgical management for saddle nose is carefully decided due to the disease relapsing characteristics. We present a RP patient with a saddle nose deformity who underwent reconstruction rhinoplasty with autologous costal cartilage grafting. At 6-month follow-up, the patient retained good esthetic results and showed neither complication nor relapse of RP.

Keyword

Costal cartilage; Polychondritis, relapsing; Rhinoplasty

MeSH Terms

Congenital Abnormalities
Costal Cartilage*
Diagnosis
Ear
Follow-Up Studies
Humans
Inflammation
Nasal Cartilages
Nose
Polychondritis, Relapsing*
Recurrence
Respiratory System
Rhinoplasty*
Transplants*