International Journal of Head and Neck Surgery

Register      Login

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

ORIGINAL RESEARCH

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).


Abstract

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.


PDF Share
  1. Watts RA, Lane SE, Bentham G, Scott DG. Epidemiology of systemic vasculitis. Arthritis Rheum 2000 Feb;43(2): 414-419.
  2. Ntatsaki E, Watts RA, Scott DG. Epidemiology of ANCAassociated vasculitis. Rheum Dis Clin North Am 2010 Aug;36(3):447-461.
  3. Kwame, I. Inflammatory disorders of the larynx. In: Costello D, Sandhu G, editors. Practical laryngology. London: CRC Press; 2015. p. 149.
  4. Kotanko P, Pusey C D, Levy JB. Recurrent glomerulonephritis following renal transplantation. Transplantation 1997 Apr;63(8):1045-1192.
  5. Kwame I, Kariyawasam H. The relationship between the upper and lower airway—an ENT perspective. J ENT Masterclass 2014;7(1):65-69.
  6. De'Oliviera I, Gaskin I, Dash A, Rees A, Pusey C. Relationship between disease activity and anti-neutrophil cytoplasmic antibody concentration in long-term management of systemic vasculitis. Am J Kidney Dis 1995 Mar;25(3):380-389.
  7. Jayne DR, Gaskin G, Pusey CD, Lockwood CM. ANCA and predicting relapse in systemic vasculitis. QJM 1995 Feb;88(2):127-133.
  8. Booth AD, Almond MK, Burns A, Ellis P, Gaskin G, Neild GH, Plaisance M, Pusey CD, Jayne DR; Pan-Thames Renal Research Group. Outcome of ANCA-associated renal vasculitis: a 5-year retrospective study. Am J Kidney Dis 2003 Apr;41(4):776-784.
  9. Srouji IA, Andrews P, Edwards C, Lund VJ. Patterns of presentation and diagnosis of patients with Wegener's granulomatosis: ENT aspects. J Laryngol Otol 2007 Jul;121(7):653-658.
  10. Srouji IA, Andrews P, Edwards C, Lund VJ. General and rhinosinusitis-related quality of life in patients with Wegener's granulomatosis. Laryngoscope 2006 Sep;116(9):1621-1625.
  11. Srouji I, Lund V, Andrews P, Edwards C. Rhinologic symptoms and quality of life in patients with Churg-Straus Syndrome vasculitis. Am J Rhinol 2008 Jul-Aug;22(4)406-409.
  12. Flossmann O, Berden A, de Groot K, Hagen C, Harper L, Heijl C, Höglund P, Jayne D, Luqmani R, Mahr A, et al. Long-term patient survival in ANCA-associated vasculitis. Ann Rheum Dis 2011 Mar;70(3):488-494.
  13. Jennette JC, Falk RJ, Bacon PA, Basu N, Cid MC, Ferrario F, Flores-Suarez LF, Gross WL, Guillevin L, Hagen EC, et al. 2012 revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis Rheum 2013 Jan;65(1):1-11.
  14. Lionaki S, Blyth ER, Hogan SL, Hu Y, Senior BA, Jennette CE, Nachman PH, Jennette JC, Falk RJ. Classification of antineutrophil cytoplasmic autoantibody vasculitides: the role of antineutrophil cytoplasmic autoantibody specificity for myeloperoxidase or proteinase 3 in disease recognition and prognosis. Arthritis Rheum 2012 Oct;64(10):3452-3462.
  15. Hoffman GS, Kerr GS, Leavitt RY, Hallahan CW, Lebovics RS, Travis WD, Rottem M, Fauci AS. Wegener granulomatosis: an analysis of 158 patients. Ann Intern Med 1992 Mar;116(6): 488-498.
  16. Lanham JG, Elkon KB, Pusey CD, Hughes GR. Systemic vasculitis with asthma and eosinophilia: a clinical approach to the Churg-Strauss syndrome. Medicine (Baltimore) 1984 Mar;63(2):65-81.
  17. Chung SA, Seo P. Microscopic polyangiitis. Rheum Dis Clin North Am 2010 Aug;36(3):545-558.
  18. Rachapalli SM, Kiely PD. Cocaine-induced midline destructive lesions mimicking ENT-limited Wegener's granulomatosis. Scand J Rheumatol 2008 Nov-Dec;37(6):477-480.
  19. Lancaster J, Belloso A, Wilson CA, McCormick M. Rare case of naso-oral fistula with extensive osteocartilaginous necrosis secondary to cocaine abuse: review of otorhinolaryngological presentations in cocaine addicts. J Laryngol Otol 2000 Aug;114(8):630-633.
  20. Goodger NM, Wang J, Pogrel MA. Palatal and nasal necrosis resulting from cocaine misuse. Br Dent J 2005 Mar;198(6): 333-334.
  21. Prinzleve M, Haasen C, Zurhold H, Matali JL, Bruguera E, Gerevich J, Bácskai E, Ryder N, Butler S, Manning V, et al. Cocaine use in Europe—a multi-centre study: patterns of use in different groups. Eur Addict Res 2004 Sep;10(4): 147-155.
  22. Ehleringer JR, Casale JF, Lott MJ, Ford VL. Tracing the geographical origin of cocaine. Nature 2000 Nov;408(6810):311-312.
  23. Pieterse E, van der Vlag J. Cracking the pathogenesis of cocaine-induced vasculitis. Rheumatology (Oxford) 2017 Apr;56(4):503-505.
  24. D'Cruz D P, Baguley E, Asherson RA, Hughes GR. Ear, nose, and throat symptoms in subacute Wegener's granulomatosis. BMJ 1989 Aug;299(6696):419-422.
  25. Rimmer J, Andrews P, Lund VJ. Eosinophilic angiocentric fibrosis of the nose and sinuses. J Laryngol Otol 2014 Dec;128(12):1071-1077.
  26. Weiner M, Goh SM, Mohammad AJ, Hruskova Z, Tanna A, Bruchfeld A, Selga D, Chocova Z, Westman K, Eriksson P, et al. Outcome and treatment of elderly patients with ANCA-associated vasculitis. Clin J Am Soc Nephrol 2015 Jul;10(7):1128-1135.
  27. Poirrier AL, Ahluwalia S, Kwame I, Chau H, Bentley M, Andrews P. External nasal valve collapse: validation of novel outcome measurement tool. Rhinology 2014 Jun;52(2): 127-132.
  28. East C, Kwame I, Hannan SA. Revision rhinoplasty: what can we learn from error patterns? An analysis of revision surgery. Facial Plast Surg 2016 Aug;32(4):409-415.
  29. Christophel J, Hilger PA. Osseocartilaginous rib graft rhinoplasty: a stable, predictable technique for major dorsal reconstruction. Arch Facial Plast Surg 2011 Mar-Apr;13(2):78-83.
  30. Diamantopoulos II, Jones NS. The investigation of nasal septal perforations and ulcers. J Laryngol Otol 2001 Jul;115(7):541-544.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.