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Grafts in rhinoplasty

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https://www.readbyqxmd.com/read/29175036/evaluation-of-postoperative-patient-satisfaction-after-covering-the-nasal-dorsum-with-upper-lateral-cartilage-upper-lateral-closing
#1
Can Alper Çağıcı
INTRODUCTION: Following nasal hump removal during septorhinoplasty, the middle vault should be reconstructed to avoid functional and esthetic problems. Middle vault reconstruction, however, may result in widening of the middle vault and may need a camouflage graft to cover dorsal irregularities. OBJECTIVE: To present the results of reconstructing the middle vault with a technique that covers the nasal dorsum with upper lateral cartilage, from the viewpoint of patient satisfaction...
November 16, 2017: Brazilian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29174553/primary-aesthetic-correction-of-nasal-anomaly-with-costal-graft-in-treating-orbital-hypertelorism
#2
Dong Li, Haoli Mao, Zheyuan Yu, Liang Xu, Jie Yuan, Min Wei
Orbital hypertelorism is a common congenital craniofacial anomaly in Asians. As Tessier pointed out, the correction of hypertelorism is effectively the correction of the nasal deformity, which is characterized by a broad, flat nose accompanying an increased interorbital distance and a lack of nasal projection. OBJECTIVES: To measure the changes in the orbital and nasal parameters after Tessier box osteotomy and primary aesthetic rhinoplasty, performed concurrently with otogenous costochondral graft...
October 13, 2017: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29149246/asian-cleft-rhinoplasty-the-open-structural-approach
#3
Chin-Ho Wong, Rollin K Daniel, Seng-Teik Lee
Background: Asian cleft rhinoplasty is a unique procedure with specific challenges. Objectives: This paper presents our experience with the use of an open structural technique for Asian cleft rhinoplasty utilizing a complete autologous approach. Methods: An open approach that reconstructs the malpositioned nasal cartilage was utilized. Centrally, the septocolumella graft fixed securely in the midline with extender spreader grafts was utilized to project and lengthen the nose...
November 15, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29124378/usefulness-of-cross-linked-human-acellular-dermal-matrix-as-an-implant-for-dorsal-augmentation-in-rhinoplasty
#4
Chae Eun Yang, Soo Jung Kim, Ji Hee Kim, Ju Hee Lee, Tai Suk Roh, Won Jai Lee
BACKGROUND: Asian noses are relatively small and flat compared to Caucasians; therefore, rhinoplasty procedures often focus on dorsal augmentation and tip projection rather than reduction in the nasal framework. Various autologous and alloplastic implant materials have been used for dorsal augmentation. Recently, human acellular dermal matrices have been introduced as an implant material for dorsal augmentation, camouflaging autologous implants without an additional donor site. Here, we introduce a cross-linked human acellular dermal matrix as an implant material in augmentation rhinoplasty and share the clinical experiences...
November 9, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29124376/an-alternative-rhinoplasty-technique-rotational-spreader-flap-rabbit-flap
#5
Ali Ahmet Sirin, Ibrahim Erdim, Omer Erdur, Alperen Sirin
BACKGROUND: In modern rhinoplasty, septal cartilage is the most commonly used graft material. It is a big challenge if septal cartilage is insufficient. We present an alternative technique named the "rabbit flap," created from the cephalic portion of the lower lateral cartilage to show its effectiveness on nasolabial angle, nasal axis deviation, and nasal dorsal line. METHODS: An alternative flap, called a "rabbit flap," is constituted from the cephalic portion of the lower lateral cartilage (LLC)...
November 9, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29068924/injection-of-compressed-diced-cartilage-in-the-correction-of-secondary-and-primary-rhinoplasty-a-new-technique-with-12-years-experience
#6
O Onur Erol
BACKGROUND: There are instances where small or large pockets are filled with diced cartilage in the nose, without use of wrapping materials. For this purpose, 1-cc commercial syringes were used. The obtained results were partial and incomplete. For better and improved results, the author designed new syringes, with two different sizes, which compress the diced cartilage for injection. METHODS: The author presents his experience accrued over the past 12 years with 2366 primary, 749 secondary, 67 cleft lip and nose, and a total of 3182 rhinoplasties, using his new syringe design, which compresses diced cartilage and injects the diced cartilages as a conglutinate mass, simulating carved costal cartilage, but a malleable one...
November 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29026965/cutting-the-holy-dome-the-evolution-of-vertical-alar-resection
#7
Süreyya Şeneldir, Aytuğ Altundağ, Denizhan Dizdar
INTRODUCTION: Dome division or vertical dome division (VDD) is a tip plasty technique that is effective when applied appropriately to suitable patients. For 15 years, we have used VDD and made modifications as needed. In classical VDD, the dome area is cut and left to heal, but experience shows that additional components are needed to complement dome division, such as sutures or grafts. In this study, we retrospectively analysed our rhinoplasty patients in whom we used vertical alar resection (VAR) to assess the advantages and disadvantages of this technique...
October 12, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29026961/outcome-of-in-situ-septoplasty-and-extracorporeal-subtotal-septal-reconstruction-in-crooked-noses-a-randomized-self-controlled-study
#8
Sercan Gode, Murat Benzer, Mustafa Uslu, Isa Kaya, Rasit Midilli, Bulent Karci
IMPORTANCE: Severe dorsal deviations in crooked noses are treated by either in situ septoplasty with asymmetric spreader grafts (ISS) or extracorporeal subtotal septal reconstruction (ECS). To our knowledge, except one retrospective study, there is no other that compares the objective and subjective results of these two treatment modalities. OBJECTIVE: The aim of this study was to compare the aesthetic and functional outcomes of ECS and ISS in crooked noses. DESIGN, SETTING AND PARTICIPANTS: This study was carried out on 40 patients (ISS in 20 patients and ECS in 20 patients) who underwent external rhinoplasty surgery due to crooked noses between May 2014 and January 2016...
October 12, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/28989236/alar-cartilage-an-alternative-for-spreader-graft-in-primary-rhinoplasty
#9
Carlos Oscar Uebel, Renato Matta
BACKGROUND: Alar cartilage can be very useful for tip and dorsum grafts. Depending on its size and thickness, it can be an important alternative for spreader grafts to improve endonasal functional deficiencies, correct deviated noses, and prevent inverted "V" deformities. Caucasian patients with bulbous tips are the most common candidates to achieve such benefits. It is easy to obtain and to frame into a desired graft. METHODS: The authors describe a surgical technique using the alar cartilages as spreader grafts...
2017: European Journal of Plastic Surgery
https://www.readbyqxmd.com/read/28975239/association-of-autologous-costal-cartilage-harvesting-technique-with-donor-site-pain-in-patients-undergoing-rhinoplasty
#10
Berke Özücer, Mehmet Emre Dinç, Ceki Paltura, Ilker Koçak, Denizhan Dizdar, Oguz Çörtük, Ömer Uysal
Importance: Postoperative pain at the donor site is a common morbidity following autologous costal cartilage grafting. Objective: To evaluate postoperative pain at the donor site after the use of a muscle-sparing costal cartilage harvesting technique compared with a muscle-cutting technique using electrocautery. Design, Setting, and Participants: Designed as a controlled trial without randomization, this prospective, comparative cohort study was conducted between January 1, 2016, and March 31, 2017...
September 21, 2017: JAMA Facial Plastic Surgery
https://www.readbyqxmd.com/read/28953724/rhinoplasty-refinements-the-role-of-the-open-approach
#11
Rod J Rohrich, Paul N Afrooz
The open rhinoplasty technique facilitates accurate visualization of deformities and aesthetic disharmonies in addition to visualization for precise correction. Through a series of videos, this case represents the evolution of the open rhinoplasty technique, demonstrating a wide range in complexity of maneuvers to achieve the desired correction in rhinoplasty. The video demonstrates reduction of the nasal dorsum by way of a component dorsal reduction, reconstitution of the cartilaginous midvault, and suture techniques for reshaping the nasal tip...
October 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28953723/extended-alar-contour-grafts-an-evolution-of-the-lateral-crural-strut-graft-technique-in-rhinoplasty
#12
C Spencer Cochran, David A Sieber
Modification of the lower lateral cartilage complex is the sine qua non of modern rhinoplasty, and the open approach to rhinoplasty has expanded the number of techniques available to help achieve an aesthetically pleasing tip. The ideal tip has been described as having a diamond-shaped configuration, with the lateral points formed by the tip-defining points, the superior point by the supratip, and the inferior point by the columellar break point. Over the years, various techniques have been described to minimize isolation of the tip and to help achieve the ideal tip configuration: lateral crural strut grafts, alar contour grafts (i...
October 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28939917/use-of-a-fibrinogen-thrombin-sponge-in-rhinoplasty
#13
A Berghaus, M San Nicoló, C Jacobi
BACKGROUND: Although several methods have been described to address nasal dorsum augmentation and smoothing of irregularities in rhinoplasty, establishing the ideal method has proven controversial. OBJECTIVE: Here, we introduce a novel technique of cartilage grafting for nasal dorsum augmentation by wrapping cartilage in a fibrinogen- and thrombin-coated collagen patch called TachoSil®. MATERIAL AND METHODS: In a pilot study comprising ten cases, the use of the collagen patch was examined in various indications in rhinoplasty...
September 22, 2017: HNO
https://www.readbyqxmd.com/read/28931193/bacterial-cellulose-as-a-new-graft-model-for-the-turkish-delight-technique-in-rhinoplasty-an-experiment-in-20-rats
#14
Sevim Aydinli, Sultan Bişkin, Aykut Erdem Dinç, Yusuf Orhan Uçal, Nilüfer Kandemir, İshak Özel Tekin
We conducted an experiment to investigate the effectiveness of bacterial cellulose, a new graft material, in correcting and preventing dorsal nasal disorder in rhinoplasty. The experiment was performed on 20 Wistar albino rats. The rats were evenly divided into two groups: a fascia group and a cellulose group. In the fascia group, grafts from the conchal cartilage were removed, shredded, and then wrapped in temporal muscle fascia. In the cellulose group, shredded cartilage was wrapped in the bacterial cellulose...
September 2017: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/28922982/porcine-mesothelium-wrapped-diced-cartilage-grafts-for-nasal-reconstruction
#15
Athanasios Bramos, David P Perrault, Alexander N Fedenko, Gene H Kim, Sofia Bougioukli, Jay R Lieberman, Jay W Calvert, Alex Wong
<b>Background:</b> Fascia wrapped diced cartilage grafts have become a useful tool in modern rhinoplasty surgery. Unfortunately, fascial harvest is associated with donor site morbidity, therefore a non-autologous alternative to fascia would be ideal. Decellularized porcine mesothelium, Meso BioMatrix<sup>TM</sup>, is an acellular scaffold that could potentially fill this need. To determine if porcine mesothelium could serve as an acceptable alternative, we histologically compared diced cartilage grafts wrapped in fascia versus porcine mesothelium...
September 19, 2017: Tissue Engineering. Part A
https://www.readbyqxmd.com/read/28915210/septum-based-nasal-tip-plasty-a-comparative-study-between-septal-extension-graft-and-double-layered-conchal-cartilage-extension-graft
#16
Young Chul Suh, Woo Shik Jeong, Jong Woo Choi
BACKGROUND: Septal extension graft is currently the most commonly used primary and secondary rhinoplasty technique in Asia because it provides maximal tip projection and rotational controllability. We designed this study to compare the tip projection amount and rotational controllability of the tip support between the septal extension graft based on the L-strut septum and double-layered conchal cartilage graft based on the full septum at the nasal tip. METHOD: A total 27 consecutive patients who underwent nasal tip plasty with the septal extension graft or double-layered conchal cartilage graft for purely esthetic reasons between March 2014 and July 2016...
September 13, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28881107/saddle-nose-deformity-and-septal-perforation-in-granulomatosis-with-polyangiitis
#17
Annekatrin Coordes, Sonja Maike Loose, Veit M Hofmann, Grant S Hamilton, Frank Riedel, Dirk Jan Menger, Andreas E Albers
BACKGROUND: Patients who have granulomatosis with polyangiitis (GPA, syn. M. Wegener) often develop an external nose deformity which may have devastating psychological effects. Therefore, reconstruction of nasal deformities by rhinoplasty may become necessary to achieve a normal appearance. OBJECTIVE OF REVIEW: The aim of this systematic review was to investigate the efficacy and safety of surgical reconstruction in external nasal deformities and septal perforation in GPA patients...
September 7, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28844147/costal-and-auricular-cartilage-grafts-for-nasal-reconstruction-an-anatomic-analysis
#18
Thuy-Van Tina Ho, Thomas Cochran, Kevin J Sykes, Clinton D Humphrey, J David Kriet
OBJECTIVES: The aim of this study was to measure the length, width, and surface area of costal and auricular cartilage harvested for grafting in rhinoplasty and nasal reconstruction. We also compared the sizes of ear cartilage grafts harvested from the anterior and posterior approaches. METHODS: Fifty-eight nasal reconstructive surgeries requiring rib or ear cartilage were performed by 2 facial plastic surgeons from February 2015 through January 2016. Among the 57 cases that met inclusion criteria, they comprised of 33 costal cartilage grafts and 24 auricular cartilage grafts (17 via anterior approach and 7 via posterior approach)...
October 2017: Annals of Otology, Rhinology, and Laryngology
https://www.readbyqxmd.com/read/28841603/discussion-free-diced-cartilage-a-new-application-of-diced-cartilage-grafts-in-primary-and-secondary-rhinoplasty
#19
COMMENT
O Onur Erol
No abstract text is available yet for this article.
September 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28840282/evaluation-of-a-well-known-technique-with-ultrasound-dorsal-grafting-in-rhinoplasty
#20
Basak Caypinar Eser, A Emre Ilhan, Betul Cengiz
OBJECTIVE: We aimed to evaluate the survival of a well-known camouflage technique using ultrasound imaging of the graft through the nasal dorsum and supratip. MATERIAL AND METHOD: Twenty-two patients (8 women and 14 men) who underwent primary rhinoplasty performed by the same surgeon in Isparta, Turkey, between December 2013 and February 2015, were evaluated in this retrospective study. We used the remaining pieces of harvested septal cartilage during rhinoplasty as autologous graft material and venous blood mixture as a scaffold in a Turkish Delight fashion...
August 24, 2017: Aesthetic Plastic Surgery
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