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Failed septal extension graft in a patient with a history of radiotherapy

BACKGROUND: This report describes the authors’ experience of “melting” septal cartilage after placement of a septal extension graft in a nasopharyngeal cancer patient that had been previously undergone radiation therapy, and provides a review of the literature. METHODS: Electronic medical records we...

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Autores principales: Kang, Il Gyu, Kim, Seon Tae, Lee, Seok Ho, Baek, Min Kwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5078155/
https://www.ncbi.nlm.nih.gov/pubmed/27830140
http://dx.doi.org/10.1186/s40902-016-0086-9
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author Kang, Il Gyu
Kim, Seon Tae
Lee, Seok Ho
Baek, Min Kwan
author_facet Kang, Il Gyu
Kim, Seon Tae
Lee, Seok Ho
Baek, Min Kwan
author_sort Kang, Il Gyu
collection PubMed
description BACKGROUND: This report describes the authors’ experience of “melting” septal cartilage after placement of a septal extension graft in a nasopharyngeal cancer patient that had been previously undergone radiation therapy, and provides 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 our department 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 any signs of infection, that is, the graft had softened, lost elasticity, thinned, and partially disappeared without any sign of infection at 5 days, and thus, the nasal tip was reconstructed with conchal cartilage (second operation). Five months after surgery, it was found that almost all septal cartilage had disappeared without any sign of infection, and thus, the entire nasal septum was reconstructed using 2-mm costal cartilage and an onlay graft was used for tip augmentation (third operation). CONCLUSIONS: After cartilage has been exposed to radiotherapy, its patency should be viewed with suspicion. Further studies are needed for determine the mechanism responsible for cartilage damage after radiotherapy.
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spelling pubmed-50781552016-11-07 Failed septal extension graft in a patient with a history of radiotherapy Kang, Il Gyu Kim, Seon Tae Lee, Seok Ho Baek, Min Kwan Maxillofac Plast Reconstr Surg Case Report BACKGROUND: This report describes the authors’ experience of “melting” septal cartilage after placement of a septal extension graft in a nasopharyngeal cancer patient that had been previously undergone radiation therapy, and provides 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 our department 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 any signs of infection, that is, the graft had softened, lost elasticity, thinned, and partially disappeared without any sign of infection at 5 days, and thus, the nasal tip was reconstructed with conchal cartilage (second operation). Five months after surgery, it was found that almost all septal cartilage had disappeared without any sign of infection, and thus, the entire nasal septum was reconstructed using 2-mm costal cartilage and an onlay graft was used for tip augmentation (third operation). CONCLUSIONS: After cartilage has been exposed to radiotherapy, its patency should be viewed with suspicion. Further studies are needed for determine the mechanism responsible for cartilage damage after radiotherapy. Springer Berlin Heidelberg 2016-10-25 /pmc/articles/PMC5078155/ /pubmed/27830140 http://dx.doi.org/10.1186/s40902-016-0086-9 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Kang, Il Gyu
Kim, Seon Tae
Lee, Seok Ho
Baek, Min Kwan
Failed septal extension graft in a patient with a history of radiotherapy
title Failed septal extension graft in a patient with a history of radiotherapy
title_full Failed septal extension graft in a patient with a history of radiotherapy
title_fullStr Failed septal extension graft in a patient with a history of radiotherapy
title_full_unstemmed Failed septal extension graft in a patient with a history of radiotherapy
title_short Failed septal extension graft in a patient with a history of radiotherapy
title_sort failed septal extension graft in a patient with a history of radiotherapy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5078155/
https://www.ncbi.nlm.nih.gov/pubmed/27830140
http://dx.doi.org/10.1186/s40902-016-0086-9
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