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Failed septal extension graft in a patient with a history of radiotherapy
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논문 기본 정보

Type
Academic journal
Author
Il Gyu Kang (가천대학교) Kim Seon Tae (가천대학교) Lee Seok Ho (가천대학교) Baekminkwan ((의료)길의료재단)
Journal
Korean Association of Maxillofacial Plastic and Reconstructive Surgeons Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제38권 제10호 KCI Accredited Journals
Published
2016.10
Pages
1 - 4 (4page)
DOI
10.1186/s40902-016-0086-9

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Failed septal extension graft in a patient with a history of radiotherapy
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Abstract· Keywords

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Background: This report describes the authors’ experience of “melting” septal cartilage after placement of a septalextension graft in a nasopharyngeal cancer patient that had been previously undergone radiation therapy, andprovides a review of the literature. Methods: Electronic medical records were used to obtain details of the patient’s clinical history. Results: A 32-year-old woman, who had previously undergone radiotherapy for nasopharyngeal cancer, visited ourdepartment to for rhinoplasty. Rhinoplasty was performed using a septal extension graft to raise the nasal tip(first operation). Five days after surgery, it was found that the septal extension graft was melting without anysigns of infection, that is, the graft had softened, lost elasticity, thinned, and partially disappeared without anysign of infection at 5 days, and thus, the nasal tip was reconstructed with conchal cartilage (second operation). Fivemonths after surgery, it was found that almost all septal cartilage had disappeared without any sign of infection, andthus, the entire nasal septum was reconstructed using 2-mm costal cartilage and an onlay graft was used for tipaugmentation (third operation). Conclusions: After cartilage has been exposed to radiotherapy, its patency should be viewed with suspicion. Furtherstudies are needed for determine the mechanism responsible for cartilage damage after radiotherapy.
#Nasal septum #Rhinoplasty #Radiotherapy #Nasal cartilages

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Marx RE / 1987 / Studies in the radiobiology of osteoradionecrosis and their clinical significance / Oral Surg Oral Med Oral Pathol 64:379~390 google schola Lederman M / 1972 / Radiation therapy in cancer of the larynx / JAMA 221:1253~1254 google schola Jh E / 2012 / Radiology for the radiologist / Lippincott Williams & Wilkins google schola Keene M / 1982 / Histopathological study of radionecrosis in laryngeal carcinoma / Laryngoscope 92:173~180 google schola Alves RV / 2005 / Intradermal melanocytic nevus of the external auditory canal / Braz J Otorhinolaryngol 71:104~106 google schola

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