International Journal of Head and Neck Surgery

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VOLUME 9 , ISSUE 1 ( January-March, 2018 ) > List of Articles


Surgery for Vasculitic Disease of the Nose and Sinuses

Ivor Kwame, Charles Pusey, Peter Andrews

Keywords : Antineutrophil cytoplasm antibody, Antineutrophil cytoplasm antibody-associated vasculitis, Granulomatous disease, Rhinoplasty, Vasculitis

Citation Information : Kwame I, Pusey C, Andrews P. Surgery for Vasculitic Disease of the Nose and Sinuses. Int J Head Neck Surg 2018; 9 (1):1-6.

DOI: 10.5005/jp-journals-10001-1329

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Nasal surgery in patients with granulomatosis is complex. A number of considerations are required including the risk of potential reactivation of vasculitis in the operative field after surgery, the tissue quality leading to less predictable healing, and the associated risk of postoperative infection. These are particularly relevant in nasal reconstruction and underscores the need for a multidisciplinary approach. Management which confers stable, predictable outcomes is advantageous. In this article, we share our experience of the use of endoscopic sinus surgery (ESS) and nasal reconstruction in these difficult cases. In all cases, patients were jointly managed by a reconstructive rhinologist and a vasculitis physician.

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