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Reconstructive septorhinoplasty in radiation-induced reactive bone dysplasia
Journal article   Open access   Peer reviewed

Reconstructive septorhinoplasty in radiation-induced reactive bone dysplasia

Nkechi N. Nwabueze, Justin R. Shinn, Scott Owen, W. Russell Ries and Scott J. Stephan
Otolaryngology case reports, Vol.13, p.100131
11/2019
DOI: 10.1016/j.xocr.2019.100131
url
https://doi.org/10.1016/j.xocr.2019.100131View
Published (Version of record) Open Access

Abstract

To describe a complicated external septorhinoplasty in a case of nasal adenocarcinoma radiation-induced reactive bone dysplasia. We describe a 40-year-old female with high-grade sinonasal adenocarcinoma who was treated with induction chemotherapy and radiation. The patient eventually presented with findings consistent with radiation-induced osseous changes that mimicked fibrous dysplasia. She was successfully treated with external septorhinoplasty for restoration of function and improved cosmesis. To our knowledge, this is one of few reported cases of craniofacial fibrous dysplasia caused by radiation therapy. Fibrous dysplasia is a disease that can lead to significant debilitation in patients, however radiation-induced fibrous dysplasia is a rarely reported disease with no clear consensus guidelines. Select patients can be treated surgically to provide symptomatic relief and improved cosmesis.
Fibrodysplasia Fibrous dysplasia Saddle nose Septorhinoplasty

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