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Grafts in rhinoplasty

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https://www.readbyqxmd.com/read/29878990/use-of-roof-shaped-costochondral-cartilage-for-correction-of-saddle-nose-deformity
#1
Fatih Irmak, Sevgi K Yazar, Selami S Sirvan, Memet Yazar, Semra Karsidag
BACKGROUND: Cartilage grafts are routinely used in secondary and post-traumatic rhinoplasty. However, in most cases, there are weak areas in the nasal bones and upper lateral cartilages. The purpose of this study was to seek a solution for keystone area and dorsum of the nose in revision and post-traumatic rhinoplasty cases, and reconstruction of saddle nose deformity including upper lateral cartilage with roof shaped graft. METHODS: A retrospective review of reconstructive rhinoplasties performed for saddle nose deformities was conducted...
March 26, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29771844/an-innovative-and-easy-dome-holding-technique-for-transdomal-suture-in-rhinoplasty
#2
Sureyya Seneldir, Yusuf Muhammed Durna
Suture tip plasty is one the most used methods in nasal tip surgery. Transdomal suture (TDS) used for this purpose is utilized for providing the dome symmetry, thinning the nasal tip, and enhancing the nasal tip projection and rotation. However, there are not sufficient visual data on what the dome position should be during TDS. In this study, it was aimed to be directive in tip plasty and to define the convenient dome holding technique during TDS. Patients, 510 male and 621 female at the age of 18 to 50 years, who underwent the open technique septorhinoplasty between the years of 2003 to 2015 were included in the authors' study...
May 15, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29762452/the-use-of-expanded-polytetrafluoroethylene-in-short-nose-elongation-fourteen-years-of-clinical-experience
#3
Jiao Wei, Tanja Herrler, Ning Deng, Hua Xu, Bowen Shi, Chuanchang Dai
BACKGROUND: Short nose elongation is a relatively common rhinoplasty procedure, especially in Asia. The selection of the adequate graft material is challenging. Previous reports have described the application of expanded polytetrafluoroethylene (ePTFE) for dorsal augmentation rhinoplasty, but studies using ePTFE for nose elongation are lacking. We propose ePTFE as an alternative treatment for short noses, describe the technique, and discuss outcomes, patient selection, and complications based on our 14-year experience...
May 14, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29762323/reinforcement-of-lower-lateral-cartilage-using-sliced-costal-periphery-to-reconfigure-nasal-tip-in-asian-rhinoplasty
#4
Lin Wang, Yonggan Niu, Hui Zhang, Baokai Li
BACKGROUND: Reinforcement of lower lateral crura (LLC) is an imperative prophylaxis against the secondary deformity of alar and nasal tip in Asian rhinoplasty. The common limitation of the existing techniques is loss of nasal tip's mobility to a large degree in exchange for structural stability. In search for a natural and animated postoperative nasal tip, the elasticity and rigidity of coastal periphery was taken into account. METHOD: Two pieces of sliced costal periphery (SCP) were used to reinforce the LLC...
May 14, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29756610/the-hump-columellar-strut-a-reliable-technique-for-correction-of-nasal-tip-underprojection
#5
P G Giacomini, S Mocella, S DI Girolamo, R DE Berardinis, A Boccieri
Nasal tip under projection is often found in rhinoplasty cases both for congenital or post-traumatic deformity. Nasal trauma may result in alteration of the external and internal nasal structures with following aesthetic impairment and difficulties in breathing. Post-traumatic surgery is frequent, but restoration of pre-traumatic form and function remains a challenge. The present paper describes a new method to increase tip projection by a columellar strut harvested from the autologous nasal bone and cartilage of the resected hump...
February 2018: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/29707440/assessment-of-functional-rhinoplasty-with-spreader-grafting-using-acoustic-rhinomanometry-and-validated-outcome-measurements
#6
Marek A Paul, Parisa Kamali, Austin D Chen, Ahmed M S Ibrahim, Winona Wu, Babette E Becherer, Caroline Medin, Samuel J Lin
Background: Rhinoplasty is 1 of the most common aesthetic and reconstructive plastic surgical procedures performed within the United States. Yet, data on functional reconstructive open and closed rhinoplasty procedures with or without spreader graft placement are not definitive as only a few studies have examined both validated measurable objective and subjective outcomes of spreader grafting during rhinoplasty. The aim of this study was to utilize previously validated measures to assess objective, functional outcomes in patients who underwent open and closed rhinoplasty with spreader grafting...
March 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29706591/semilunar-conchal-cartilage-graft-in-saddle-nose-reconstruction
#7
I Rašić, A Košec, A Pegan
INTRODUCTION: The saddle nose deformity is easily recognized by the loss of septal support and nasal dorsal height with adverse functional and aesthetic consequences. TECHNIQUE: We treated a 50-year-old woman and a 54-year old man that presented with a moderate saddle nose deformity following a previous septorhinoplasty (female patient) and a posttraumatic severe saddle nose deformity (male patient). The patients were treated by open approach rhinoplasty under general anesthesia, and the saddle nose deformity was reconstructed with a semilunar conchal cartilage graft...
April 26, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29705398/a-systematic-review-and-meta-analysis-of-comparison-between-autologous-costal-cartilage-and-alloplastic-materials-in-rhinoplasty
#8
REVIEW
Xuebing Liang, Keming Wang, Sunitha Malay, Kevin C Chung, Jiguang Ma
BACKGROUND: Both autologous costal cartilage (ACC) and alloplastic materials are widely used in rhinoplasty. However, there is controversy regarding which material can offer the ideal outcome and fewer complications. OBJECTIVE: The authors review current literature to evaluate complication and satisfaction rates with different materials used in rhinoplasty. METHODS: A comprehensive literature search of articles was conducted in Embase and PubMed published through April 14, 2017...
April 11, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29673851/the-use-of-allogeneic-cartilage-for-grafting-in-functional-and-reconstructive-rhinoplasty
#9
Andrew M Read-Fuller, David M Yates, Alaaaldin Radwan, Alexander M Schrodt, Richard A Finn
PURPOSE: Allogeneic cartilage grafting has multiple uses in rhinoplasty. Autogenous cartilage is frequently used in cases of nasal obstruction or reconstruction, but harvesting grafts can cause complications or might be contraindicated. Rhinoplasties of the patient with cleft might require costochondral grafts. Allogeneic rib is an effective and safe alternative to autogenous grafts, prevents complications, and obviates postoperative admission after rib harvest. MATERIALS AND METHODS: Patients who had allogeneic cartilage placed during functional or reconstructive rhinoplasty were studied from 2 institutions, including 19 who had functional rhinoplasty using allogeneic Cartiform patellar cartilage grafts and 15 patients who underwent reconstructive cleft rhinoplasty with allogeneic rib cartilage...
March 27, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29619361/how-to-prevent-costal-cartilage-graft-warping-in-secondary-correction-of-cleft-lip-nasal-deformity
#10
Hung-Chang Chen, Cheng-I Yen, Shih-Yi Yang, Yen-Chang Hsiao
Introduction: Autologous costal cartilage dorsal onlay graft is widely used for dorsum and radix augmentation in secondary cleft lip nasal rhinoplasty. The most common drawback of costal cartilage dorsal onlay graft is warping. The purpose of this article is to describe our chimeric autologous costal cartilage graft technique, which prevents warping significantly. "Chimeric" means the combination of 2 different tissues (bone and cartilage) to make a single dorsal onlay graft...
February 2018: Plastic Surgery
https://www.readbyqxmd.com/read/29608479/comparison-of-outpatient-and-inpatient-pediatric-rhinoplasty-results-from-national-surgical-quality-improvement-program-pediatric-2012-2014
#11
Ravi K Garg, Catharine B Garland, Delora L Mount, Oksana Babchenko, Glen J Leverson, Ahmed M Afifi
INTRODUCTION: Outpatient management of patients undergoing elective surgical procedures has been associated with significantly decreased health care costs compared with inpatient management. This study investigates current practices in outpatient versus inpatient management of pediatric rhinoplasty patients. METHODS: A query was performed of the 2012 to 2014 National Surgical Quality Improvement Program-Pediatric data sets. Patients age 17 or younger undergoing rhinoplasty as the primary surgical procedure were included...
March 30, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29568974/the-cartilage-warp-prevention-suture
#12
Bahman Guyuron, Derek Z Wang, David E Kurlander
BACKGROUND: Costal cartilage graft warping can challenge rhinoplasty surgeons and compromise outcomes. We propose a technique, the "warp control suture," for eliminating cartilage warp and examine outcomes in a pilot group. METHODS: The warp control suture is performed in the following manner: Harvested cartilage is cut to the desired shape and immersed in saline to induce warping. A 4-0 or 5-0 PDS suture, depending the thickness of the cartilage, is passed from convex to concave then concave to convex side several times about 5-6 mm apart, finally tying the suture on the convex side with sufficient tension to straighten the cartilage...
June 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29554442/improvement-of-aesthetic-and-nasal-airway-in-patients-with-cleft-lip-nasal-deformities-rhinoplasty-with-septal-cartilage-graft-and-septoplasty
#13
Lei Zhang, Xiaofeng Bai, Zengjian Li, Qiang Liu, Mingliang Yang, Xukai Wang, Li Lu
OBJECTIVE: To assess the improvement of nasal morphologies and ventilation after septal cartilage graft and septoplasty of patients with unilateral cleft lip and palate (UCLP). DESIGN: Retrospective case-control study. SETTING: Tertiary stomatology hospital. PATIENTS: In total, 118 patients with UCLP who had been diagnosed with a secondary nasal deformity and had reconstructive rhinoplasty and/or septoplasty between 2010 and 2015...
April 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29537996/comparative-outcomes-in-functional-rhinoplasty-with-open-vs-endonasal-spreader-graft-placement
#14
Jason Talmadge, Robin High, William Wesley Heckman
IMPORTANCE: Spreader grafts are commonly used for nasal valve stenosis. There is debate among practitioners regarding the optimal approach for spreader graft placement. OBJECTIVE: This study aimed to determine whether an endonasal spreader graft placement leads to equivalent postoperative outcomes using a standardized nasal obstruction symptom score and whether there is a significant difference in operative time between the 2 approaches. DESIGN: A retrospective review of functional rhinoplasties by a single facial plastic surgeon over a 2-year period was conducted...
May 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29521744/use-of-irradiated-homologous-costal-cartilage-in-rhinoplasty-complications-in-relation-to-graft-location
#15
Man Koon Suh, Seung Jong Lee, Yeon-Jun Kim
BACKGROUND: Nasal septal cartilage and conchal cartilages are preferred sources of grafts in augmentation rhinoplasty. Rib cartilage can also be used, but it may evoke a patient's concerns about a scar and an extensive surgery. In such cases, irradiated homologous costal cartilage (IHCC) can be a useful alternative. However, controversy still exists in many literatures regarding complications with use of IHCC. Therefore, the authors reviewed our experiences with IHCC in rhinoplasty and analyzed the complications in relation to graft location...
March 8, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29481517/iatrogenic-conchal-defect-secondary-to-auricular-cartilage-graft
#16
Leela S Mundra, Husain T AlQattan, Meghan G Janette, Carissa Patete, Seth R Thaller
BACKGROUND: Cleft lip and palate are the most common craniofacial congenital malformations. Timing of the nasal repair remains somewhat controversial. Some authors perform a combined nasal and lip repair in infancy while others advocate for a staged repair with the nasal component occurring later in childhood. Frequently, secondary repair is needed to address residual nasal deformities in early adulthood. Conchal cartilage has become increasingly popular as a source of cartilage for secondary reconstruction...
February 23, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29470561/safety-and-efficacy-of-cosmetic-augmentation-of-the-nasal-tip-and-nasal-dorsum-with-expanded-polytetrafluoroethylene-a-randomized-clinical-trial
#17
Yifei Gu, Wenxin Yu, Yunbo Jin, Hui Chen, Gang Ma, Shih-Jen Chang, Xiaoxi Lin
Importance: Expanded polytetrafluoroethylene (ePTFE) is a widely used alloplast, but studies of augmentation of the nasal tip and nasal dorsum with ePTFE are lacking. Objective: To investigate whether attaching the conchal cartilage as shield grafts at the distal end of the graft can prevent extrusion and whether the use of ePTFE in the nasal tip can achieve a stable aesthetic outcome. Design, Setting, and Participants: A randomized clinical trial was performed from April 1, 2006, to October 31, 2008...
February 22, 2018: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/29461374/crushed-cartilage-a-rescue-procedure-in-rhinoplasty
#18
Armando Boccieri, Tito M Marianetti, Michele Pascali
While the use of crushed cartilage is now universally recognized as a valid procedure in rhinoplasty to mask irregularities and eliminate slight deficits, there is still no consensus as to the optimal degree of crushing and the rate of graft resorption over time. With a view to casting light on these 2 important aspects and providing some guidelines, the authors present a study of 123 patients subjected to grafts of cartilage with different degrees of crushing in the different areas of the nasal pyramid: upper third (45 patients), middle third (40), and lower third (38)...
May 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29396223/international-consensus-icon-on-functional-and-aesthetic-rhinoplasty
#19
S Albert, F Simon, A-J Tasman, D Chua, R Grigg, A Jaklis, T Wang, F Disant
During the 2017 IFOS international congress in Paris, a roundtable discussion on the topic of functional and aesthetic rhinoplasty was organised. Five experts, from the five continents and renown in the field of rhinoplasty, were brought together to discuss the issue from an international perspective and to put forward a consensus or on the contrary practical differences. Five questions were put to the experts beforehand to guarantee independent answers, which were then discussed during the roundtable. The questions were the following: - What are the age limits for achieving a rhinoplasty? - Do you use objective measurements before, during and after surgery? (facial landmarks, airflow, peroperative measurements) - How do you manage the preoperative general information and computer imaging of the patient? - What are the indications in your practice to perform a CT-scan or endoscopic examination before doing a rhinoplasty? - What kind of graft or prosthesis do you use for an augmentation rhinoplasty? This paper offers a synthesis of the roundtable based on the experts' answers to the different questions...
February 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29394321/treatment-of-nasal-deviation-with-underlying-bony-asymmetry-secondary-to-augmentation-rhinoplasty-in-asian-patients
#20
Po-Ching Lee, Ray-Hon Chang, Yean-Lu Chang
Background: In Asian patients, nasal deviation secondary to augmentation rhinoplasty may result from underlying bony asymmetry that was not corrected intraoperatively. Diagnosis and treatment of this condition are complicated by the masking effect of dorsal implants. Objectives: The authors applied computed tomography (CT) to examine the causes of nasal deviation after augmentation rhinoplasty. CT results were utilized in preoperative planning for revisional surgery...
January 11, 2018: Aesthetic Surgery Journal
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