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Nasal sarcoidosis: a cause for a medical rhinoplasty?

Published online by Cambridge University Press:  12 July 2012

J van Griethuysen ,
R Kuchai ,
A S Taghi  and
H A Saleh
J van Griethuysen*
Affiliation:
Otolaryngology, Head and Neck Surgery Department, Charing Cross Hospital, Imperial College London, UK
R Kuchai
Affiliation:
Otolaryngology, Head and Neck Surgery Department, Charing Cross Hospital, Imperial College London, UK
A S Taghi
Affiliation:
Otolaryngology, Head and Neck Surgery Department, Charing Cross Hospital, Imperial College London, UK
H A Saleh
Affiliation:
Otolaryngology, Head and Neck Surgery Department, Charing Cross Hospital, Imperial College London, UK
*
Address for correspondence: Dr Jennifer van Griethuysen, Otolaryngology, Head and Neck Surgery Department, Charing Cross Hospital, Fulham Palace Road, London W6 8RF, UK E-mail: jmv04@imperial.ac.uk
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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.

Keywords

SarcoidosisCorticosteroidsInjectionsIntralesionalNose
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 10 , October 2012 , pp. 1073 - 1076
Copyright
Copyright © JLO (1984) Limited 2012

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Footnotes

Presented as a poster to the British Rhinological Society Meeting, 13 May 2011, Edinburgh, Scotland, UK

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