Microscopic polyangiitis surgery: Difference between revisions
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== Indications == | == Indications == | ||
* Surgical intervention is not recommended for the management of microscopic polyangiitis. | * Surgical intervention is not recommended for the management of microscopic polyangiitis. | ||
* Surgery is usually reserved for patients with either:<ref name="pmid12150531">{{cite journal |vauthors=Congdon D, Sherris DA, Specks U, McDonald T |title=Long-term follow-up of repair of external nasal deformities in patients with Wegener's granulomatosis |journal=Laryngoscope |volume=112 |issue=4 |pages=731–7 |date=April 2002 |pmid=12150531 |doi=10.1097/00005537-200204000-00025 |url=}}</ref> | * Surgery is usually reserved for patients with either:<ref name="pmid12150531">{{cite journal |vauthors=Congdon D, Sherris DA, Specks U, McDonald T |title=Long-term follow-up of repair of external nasal deformities in patients with Wegener's granulomatosis |journal=Laryngoscope |volume=112 |issue=4 |pages=731–7 |date=April 2002 |pmid=12150531 |doi=10.1097/00005537-200204000-00025 |url=}}</ref><ref name="pmid88438682">{{cite journal |vauthors=Langford CA, Sneller MC, Hallahan CW, Hoffman GS, Kammerer WA, Talar-Williams C, Fauci AS, Lebovics RS |title=Clinical features and therapeutic management of subglottic stenosis in patients with Wegener's granulomatosis |journal=Arthritis Rheum. |volume=39 |issue=10 |pages=1754–60 |date=October 1996 |pmid=8843868 |doi= |url=}}</ref> | ||
** Destructive lesions of the nasal cartilage | ** Destructive lesions of the nasal cartilage | ||
** Stenosing lesions of the nasal passages | ** Stenosing lesions of the nasal passages | ||
** Tracheal stenosis | |||
** Bronchial stenosis | |||
== Surgery == | == Surgery == | ||
* Reconstructive surgery may provide a relief from the obstructed airway and can restore a normal-appearing and functional nose.<ref name="pmid121505312">{{cite journal |vauthors=Congdon D, Sherris DA, Specks U, McDonald T |title=Long-term follow-up of repair of external nasal deformities in patients with Wegener's granulomatosis |journal=Laryngoscope |volume=112 |issue=4 |pages=731–7 |date=April 2002 |pmid=12150531 |doi=10.1097/00005537-200204000-00025 |url=}}</ref> | * Reconstructive surgery may provide a relief from the obstructed airway and can restore a normal-appearing and functional nose.<ref name="pmid121505312">{{cite journal |vauthors=Congdon D, Sherris DA, Specks U, McDonald T |title=Long-term follow-up of repair of external nasal deformities in patients with Wegener's granulomatosis |journal=Laryngoscope |volume=112 |issue=4 |pages=731–7 |date=April 2002 |pmid=12150531 |doi=10.1097/00005537-200204000-00025 |url=}}</ref> | ||
* Tracheostomy provide a relief from lesions of the tracheobronchial tree.<ref name="pmid8843868">{{cite journal |vauthors=Langford CA, Sneller MC, Hallahan CW, Hoffman GS, Kammerer WA, Talar-Williams C, Fauci AS, Lebovics RS |title=Clinical features and therapeutic management of subglottic stenosis in patients with Wegener's granulomatosis |journal=Arthritis Rheum. |volume=39 |issue=10 |pages=1754–60 |date=October 1996 |pmid=8843868 |doi= |url=}}</ref> | |||
==References== | ==References== |
Revision as of 13:15, 30 April 2018
Microscopic polyangiitis Microchapters |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Ali Poyan Mehr, M.D. [2]Associate Editor(s)-in-Chief: Krzysztof Wierzbicki M.D. [3]
Overview
Surgery is not the first-line treatment option for patients with microscopic polyangiitis. Surgery is usually reserved for patients with either stenosing and destructive lesions of the nasal cartilage and bones of the patients who are suffering with microscopic polyangiitis.
Indications
- Surgical intervention is not recommended for the management of microscopic polyangiitis.
- Surgery is usually reserved for patients with either:[1][2]
- Destructive lesions of the nasal cartilage
- Stenosing lesions of the nasal passages
- Tracheal stenosis
- Bronchial stenosis
Surgery
- Reconstructive surgery may provide a relief from the obstructed airway and can restore a normal-appearing and functional nose.[3]
- Tracheostomy provide a relief from lesions of the tracheobronchial tree.[4]
References
- ↑ Congdon D, Sherris DA, Specks U, McDonald T (April 2002). "Long-term follow-up of repair of external nasal deformities in patients with Wegener's granulomatosis". Laryngoscope. 112 (4): 731–7. doi:10.1097/00005537-200204000-00025. PMID 12150531.
- ↑ Langford CA, Sneller MC, Hallahan CW, Hoffman GS, Kammerer WA, Talar-Williams C, Fauci AS, Lebovics RS (October 1996). "Clinical features and therapeutic management of subglottic stenosis in patients with Wegener's granulomatosis". Arthritis Rheum. 39 (10): 1754–60. PMID 8843868.
- ↑ Congdon D, Sherris DA, Specks U, McDonald T (April 2002). "Long-term follow-up of repair of external nasal deformities in patients with Wegener's granulomatosis". Laryngoscope. 112 (4): 731–7. doi:10.1097/00005537-200204000-00025. PMID 12150531.
- ↑ Langford CA, Sneller MC, Hallahan CW, Hoffman GS, Kammerer WA, Talar-Williams C, Fauci AS, Lebovics RS (October 1996). "Clinical features and therapeutic management of subglottic stenosis in patients with Wegener's granulomatosis". Arthritis Rheum. 39 (10): 1754–60. PMID 8843868.