Nasal Reconstruction in Granulomatosis with Polyangiitis Using an L-shaped Cartilage Strut Graft.

Lorand Imre Czimbalmos, Zsofia Bere, Laszlo Kovacs, Peter Kovacs, Laszlo Rovo, Gabor Vass

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Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Lorand Imre CzimbalmosDepartment of Oto-Rhino-Laryngology and Head-Neck Surgery, University of Szeged, Tisza Lajos krt. 111, Szeged, 6725, Hungary. czimbalmos.lorand@med.unideb.hu.ORCID 0000-0002-6709-166X

Zsofia BereDepartment of Oto-Rhino-Laryngology and Head-Neck Surgery, University of Szeged, Tisza Lajos krt. 111, Szeged, 6725, Hungary.

Laszlo KovacsDepartment of Rheumatology and Immunology, University of Szeged, Kálvária sgt. 57, Szeged, H-6725, Hungary.

Peter KovacsDepartment of Rheumatology and Immunology, University of Szeged, Kálvária sgt. 57, Szeged, H-6725, Hungary.

Laszlo RovoDepartment of Oto-Rhino-Laryngology and Head-Neck Surgery, University of Szeged, Tisza Lajos krt. 111, Szeged, 6725, Hungary.

Gabor VassDepartment of Oto-Rhino-Laryngology and Head-Neck Surgery, University of Szeged, Tisza Lajos krt. 111, Szeged, 6725, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

methodologyPatients exhibited progressive saddle nose deformity as a result of GPA. To reconstruct the nose, a single-stage open rhinoplasty was conducted involving the placement of an independent L-shaped costal cartilage implant. Graft formation and fixation were performed according to the author-developed method.

resultsFrom 2012 to 2023, seven patients with severe saddle nose deformity underwent implantation of modified L-shaped costal cartilage strut grafts. Except for one complicated case, all patients reported satisfaction with the surgical outcomes.

conclusionsIn this study, the visual appeal of the nose and the respiratory capabilities of the patients improved significantly. The L-shaped costal cartilage strut graft is an effective technique for saddle nose deformity correction. This technique provides excellent outcomes, including improved nasal function and aesthetics. Further studies with a larger sample size are needed to confirm these findings. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Costal CartilageGranulomatosis with PolyangiitisNose Deformities, AcquiredRhinoplastyAdultEstheticsFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient SatisfactionRetrospective StudiesTreatment OutcomeYoung AdultCartilage strut graftGranulomatosis with polyangiitisNasal reconstructionRhinoplastyWG-Wegener’s granulomatosis

Identifiers

PMID40394317

DOI10.1007/s00266-025-04892-y

PMCPMC12594648

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