1. Nasal sarcoidosis: a cause for a medical rhinoplasty?
- Author
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van Griethuysen J, Kuchai R, Taghi AS, and Saleh HA
- Subjects
- Humans, Injections, Intralesional, Sarcoidosis surgery, Glucocorticoids administration & dosage, Nose Diseases drug therapy, Sarcoidosis drug therapy, Triamcinolone Acetonide administration & dosage
- Abstract
Objective: We report the use of triamcinolone injections to correct severe nasal deformity due to sarcoidosis, as an alternative to formal surgical rhinoplasty., Case Report: A 30-year-old woman with a long-standing history of sarcoidosis presented to a tertiary referral rhinology clinic complaining of breathing difficulty and nasal deformity. Flexible nasoendoscopy revealed red nasal plaques typical of nasal sarcoidosis, together with significant widening of the nasal bridge. Triamcinolone, a long-acting corticosteroid, was injected both intralesionally and subcutaneously over the nasal dorsum, at zero, three and eight months, resulting in long-lasting improvement of the nasal shape., Conclusion: Sarcoidosis is a non-caseating, granulomatous, epithelioid inflammation. Otorhinolaryngological manifestations occur in approximately 10 per cent of patients; however, there is little published experience of nasal reconstruction in such patients. We describe a quick, simple and relatively cost-effective technique, with little or no co-morbidity, with which to improve the aesthetic and symptomatic outcomes of nasal sarcoidosis.
- Published
- 2012
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