Microscopic polyangiitis surgery: Difference between revisions

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==Overview==
==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.
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 from microscopic polyangiitis.


== Indications ==
== Indications ==

Revision as of 13:16, 30 April 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]

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 from 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

  1. 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.
  2. 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.
  3. 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.
  4. 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.

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