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1 results

  • Nasal sarcoidosis: a cause for a medical rhinoplasty?

  • J van Griethuysen, R Kuchai, A S Taghi, H A Saleh
  • Journal:
    The Journal of Laryngology & Otology / Volume 126 / Issue 10 / October 2012
    Published online by Cambridge University Press:
    12 July 2012, pp. 1073-1076
    Print publication:
    October 2012
  • 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.