Arch Craniofac Surg.  2019 Oct;20(5):341-344. 10.7181/acfs.2019.00437.

Reconstructive rhinoplasty with costal cartilage grafting: A case report of relapsing polychondritis

  • 1Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Seoul, Korea.


Relapsing polychondritis (RP) is a rare autoimmune disorder of unknown etiology characterized by recurrent episodes of inflammation and the destruction of cartilaginous tissues, primarily involving the ear, nose, and the respiratory tract. Nasal chondritis is present in 24% of patients at the time of diagnosis and develops subsequently in 53% throughout the diseases progress. Progressive destruction of nasal cartilage leads to the characteristic flattening of the nasal bridge, resulting in the saddle nose deformity. In patients with RP, surgical management for saddle nose is carefully decided due to the disease relapsing characteristics. We present a RP patient with a saddle nose deformity who underwent reconstruction rhinoplasty with autologous costal cartilage grafting. At 6-month follow-up, the patient retained good esthetic results and showed neither complication nor relapse of RP.


Costal cartilage; Polychondritis, relapsing; Rhinoplasty
Full Text Links
  • ACFS
export Copy
  • Twitter
  • Facebook
Similar articles
Copyright © 2021 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: