A new technique for Asian nasal tip shaping: "twin tower" folding ear cartilage transplantation

Abstract

Rhinoplasty focuses on the establishment of the structural support of nasal cartilage and the shaping of the nasal tip. The purpose of this study was to explore the application of "double tower" folding ear cartilage transplantation for nasal tip shaping in rhinoplasty.

The ideal technique nasal tip surgery for Asians, understanding best technique, and post-operative improvement: Systematic review/meta-analysis

“…In the protocol stage, only one study by Zhang et al. 7 used strict eligibility criteria (the study did not include patients with complications of primary rhinoplasty surgery such as nasal contracture, heavy saddle nose, also massive nasal trauma that results in the need for massive reconstruction) to avoid the risk of confounding factors that may interfere with the result. Other remaining studies did not describe strict eligibility criteria that possibly be confounding factors.…”

“…Zhang et al. 7 introduce their own innovation of septal extension graft (SEG) namely with a “double tower” nasal stent using ear cartilage. This technique uses two folded ear cartilage and the shape mimics two-tower sutured to-end caudal-septum cartilage.…”

“…Previous studies reported that the weakness of Asian nasal cartilage (with an average thickness of 0.2 mm) leads to insufficient support of the tip and sometimes generates graft absorption if we choose the wrong graft or undersized craving graft. Three authors Zhang et al., 7 Ahn et al., 8 and Mo et al. 9 added a new technique to strengthen the nasal tip framework which is adding the thickness of graft with double-layered cartilage, bending cartilage without incision, or layering it with bone.…”

“…The post-operative nasal framework examination after an average of 12 months of follow-up marked a satisfactory and good aesthetic result. 7 , 16 , 17 …”

UCHL1 alleviates apoptosis in chondrocytes via upregulation of HIF‑1α‑mediated mitophagy

“…Cartilage defects caused by trauma, congenital malformations, or oncological resection are often devastating and cannot be cured because of the intrinsically low regenerative capacity of cartilage tissues (1). Autologous cartilage grafting as well as modified operations, such as cartilage transplantation combined with flap transfer have been developed to treat nasal, auricular, and tracheal defects (2)(3)(4). However, cartilage tissue is inevitably wasted during graft carving, and ensuring an accurate shape of a graft may require extensive engraving techniques (5).…”