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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi |
2013, Cilt 27, Sayı 2, Sayfa(lar) 099-100 |
[ Turkish ] [ Tam Metin ] [ PDF ] |
The Long Term (20 Years) Effects of Closed Nostrils to the Lung Parenchyma: A Case Report |
Serdar ALTUN1, Aysun YILDIZ ALTUN2 |
1Harput Devlet Hastanesi, Plastik Cerrahi Kliniği, Elazığ, TÜRKİYE 2Elazığ Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Elazığ, TÜRKİYE |
Keywords: Closed nostril, long term effect, pulmoner emphysema |
The earliest known nose reconstruction was described in Samhita which is an old Indian
publication, about 600 BC. Later an Italian surgeon called Gaspare Tagliacozzi described the
delayed arm flap for nasal reconstruction in 1597. A 65 year old female patient admitted to our
hospital with the complaint of obstructed nostrils. 20 years ago she has lost the nose (inferior
portion) and got the defect reconstructed with Tagliacozzi flap. Her nostrils were patent at the
time of surgery but soon they were obstructed. During the past 20 years both of the her nostrils
were closed completely when the patient did admit to our department. During all those years the
patient has breathed through her mouth. We have performed CT scan which demonstrated
bilateral emphysema of the lungs. We have concluded that the emphysematous changes in the
lung parenchyma are due to the chronic long lasting obstruction of the nostrils.
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