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Reconstructive rhinoplasty using cadaver cartilage in relapsing polychondritis.

Rishabh Shah1, Eugene L Alford2,3

  • 1Texas A&M College of Medicine - Houston, Houston, Texas.

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|December 29, 2022
PubMed
Summary

Relapsing polychondritis can cause saddle nose deformity. Cadaver cartilage offers a viable option for nasal reconstruction in affected patients, providing structural integrity.

Keywords:
Cadaver cartilagereconstructive rhinoplastyrelapsing polychondritissaddle nose

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Area of Science:

  • Immunology
  • Otorhinolaryngology
  • Plastic Surgery

Background:

  • Relapsing polychondritis is a rare autoimmune disease causing cartilage inflammation.
  • Saddle nose deformity is a common consequence, posing reconstructive challenges.
  • Previous nasal reconstruction methods have limitations in these patients.

Observation:

  • A 55-year-old woman with relapsing polychondritis and saddle nose deformity was treated.
  • Cadaver cartilage was chosen for nasal reconstruction.
  • Cadaver cartilage is antigenically different from patient cartilage.

Findings:

  • Cadaver cartilage provided significant structural integrity for nasal reconstruction.
  • This approach addresses challenges of impaired wound healing and graft take.
  • The patient's autoimmune condition and immunosuppression were considered.

Implications:

  • Cadaver cartilage presents a promising alternative for nasal reconstruction in relapsing polychondritis.
  • This technique may improve outcomes for patients with challenging deformities.
  • Further research could explore long-term efficacy and broader applications.