SS  Vol.6 No.6 , June 2015
Rhinoplasty for Saddle Nose with Sarcoidosis
Abstract: Background: Cases of acquired saddle nose have been reported; however, reports of sarcoidosis with acquired saddle nose are very rare. The main cause of sarcoidosis is estimated to be an abnormal immune reaction rather than infection. Aim: Rhinoplasty using an autologous rib was planned and performed without plate fixation. Case Presentation: Our patient was diagnosed with sarcoidosis at the age of 25 years. She developed nasal congestion and rhinitis at the age of 42 years. Her nose began to show the saddle nose deformity at the age of 43 years. A rhinoplasty using an autologous rib was performed without plate fixation. Conclusion: After the operation, her nose maintained a favorable shape without sarcoidosis worsening. This use of rhinoplasty for treating saddle nose possibly prevents the worsening of sarcoidosis.
Cite this paper: Yazawa, M. , Nagashima, H. , Suzuki, K. and Kishi, K. (2015) Rhinoplasty for Saddle Nose with Sarcoidosis. Surgical Science, 6, 227-231. doi: 10.4236/ss.2015.66035.

[1]   Vogt, P.M., Gohritz, A., Haubitz, M., et al. (2011) Reconstruction of Nasal Deformity in Wegener’s Granulomatosis: Contraindication or Benefit? Aesthetic Plastic Surgery, 35, 156-161.

[2]   Merkonidis, C., Verma, S. and Salam, M.A. (2005) Saddle Nose Deformity in a Patient with Crohn’s Disease. The Journal of Laryngology & Otology, 119, 573-576.

[3]   Sachse, F. and Stoll, W. (2010) Nasal Surgery in Patients with Systemic Disorders. Head and Neck Surgery, 9.

[4]   Shipchandler, T.Z., Chung, B.J. and Alam, D.S. (2008) Saddle Nose Deformity Reconstruction with a Split Calvarial Bone L-Shaped Strut. Archives of Facial Plastic Surgery, 10, 305-311.

[5]   Gurkov, R. and Berghaus, A. (2009) Nasal Reconstruction in Advanced Sinunasal Sarcoidosis. Rhinology, 47, 327-329.

[6]   Colden, D.G., Busaba, N.Y. (2000) Sarcoidosis Presenting as Recurrent Nasal Polyps. Otolaryngology—Head and Neck Surgery, 123, 519-521.

[7]   Valeyre, D., Prasse, A., Nunes, H., et al. (2014) Sarcoidosis. Lancet, 383, 1155-1167.

[8]   Pribitkin, E.A., Ezzat, W.H. (2009) Classification and Treatment of the Saddle Nose Deformity. Otolaryngologic Clinics of North America, 42, 437-461.

[9]   Isac, C., Mihajlovic, D., Bratu, T., et al. (2012) Severe Saddle Nose Deformity Reconstruction with Rib Cartilage. Chirurgia, 107, 809-815.

[10]   Costabel, U. and Hunninghake, G.W. (1999) ATS/ERS/WASOG Statement on Sarcoidosis. Sarcoidosis Statement Committee. American Thoracic Society. European Respiratory Society. World Association for Sarcoidosis and Other Granulomatous Disorders. European Respiratory Journal, 14, 735-737.

[11]   Negi, M., Takemura, T., Guzman, J., et al. (2012) Localization of Propionibacterium acnes in Granulomas Supports a Possible Etiologic Link between Sarcoidosis and the Bacterium. Modern Pathology, 25, 1284-1297.