A new technique in Asian nasal tip plasty: Non-incisional double-layered conchal cartilage graft

Mo, Young Woong; Jung, Gyu Yong

doi:10.1016/j.bjps.2020.10.039

Cited by 8 publications

(12 citation statements)

References 11 publications

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“…Carron et al 24 elaborated on an extended CSG that includes a shield graft component in endonasal rhinoplasty. Mo and Jung 25 similarly described an extended columellar strut with a tip onlay graft. Zeng et al 45 reported a “mushroom” combination graft composed of columellar strut with cap graft.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have also compared outcomes in columellar strut versus other tip-altering techniques. When compared with a tongue-in-groove approach, a randomized Plastic and Reconstructive Surgery • October 2023 608e 54 6-48 N N Y (n = 14) Bilgili and Çerçi Özkan (2020) 20 1-2 yrs Y N NS Bracaglia et al (2020) 47 5 yrs N Y N Bucher et al (2020) 28 17 Y N NS Carron et al ( 2013) 24 32 Y N N Choi et al ( 2014) 37 12 Y Y Y (n = 6) Han et al (2017) 38 7 Y N Y (n = 3) Dayan and Ashourian (2016) 56 1 yr Y N Y (n = 2) Dhong et al ( 2013) 22 12 Y N N Emsen (2016) 42 1 38 20 Y N N Jallut and Bartolin (2021) 14 1-15 yrs Y N Y (n = 34) Jang and Kim (2011) 43 14 Y N Y (n = 6) Jang et al (2011) 40 28 Y N Y (n = 14) Kim (2015) 49 12 Y N Y (n = 1) Kim et al (2019) 23 10 Y N N Kim et al ( 2014) 31 10 Y Y Y (n = 12) Kim and Choi (2020) 35 15 Y Y Y (n = 1) Lin et al (2013) 48 26 N N Y (n = 5) Min and Jang (2011) 41 13 Y N Y (n = 6) Mo and Jung (2021) 25 Copyright © 2023 American Society of Plastic Surgeons. Unauthorized reproduction of this article is prohibited.…”

Section: Discussionmentioning

confidence: 99%

“…Columellar struts may be created using constructs differing from traditional septal cartilage. Mo and Jung 25 and Novoa et al 26 each described folded conchal cartilage as an alternative medium for columellar strut. Sahin et al 27 expanded to show that there is no difference in outcomes between face-to-face versus back-to-back fold when creating a conchal columellar strut.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Current Surgical Outcomes of Nasal Tip Grafts in Rhinoplasty: A Systematic Review

Skochdopole

Bay

Grome

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Background: Refinement of the nasal tip plays an important role in rhinoplasty surgery outcomes and may be considered the most technically challenging aspect of the procedure. Numerous techniques have been described for nasal tip augmentation utilizing grafts. The aim of this study was to systematically review the existing literature on nasal tip grafts and appraise it critically. Methods: A PubMed search was performed to identify journal articles related to nasal tip grafts from the past decade. A total of 44 studies met inclusion criteria. The Newcastle-Ottawa Quality Assessment Scale and Jadad scale were used to appraise 38 observational studies and six randomized trials, respectively, to determine the quality of the studies. Results: Critical assessment revealed that the studies were highly variable in focus and encompassed autologous, homologous, and alloplastic grafts. The quality of the data included an average Newcastle-Ottawa Quality Assessment Scale score of 6.5 (out of 9) and Jadad score of 2.5 (out of 5). A majority of studies (86.4%) included objective outcomes using anthropometric measurements and a portion of studies (27.3%) also included patient-reported outcomes. Conclusions: The results of this systematic review suggest that more than one type of nasal tip graft may result in satisfactory outcomes. This review provides an expansive collection of studies on nasal tip grafts, which can serve as an invaluable tool for the plastic surgeon engaging in rhinoplasty.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Current Surgical Outcomes of Nasal Tip Grafts in Rhinoplasty: A Systematic Review

Skochdopole

Bay

Grome

et al. 2023

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

show abstract

“…The principle of the "moment of inertia" is used to cause the folded ear cartilage to significantly increase the effects of compression and torsion resistance, thus maintaining long-term stability after rhinoplasty [ 18 , 19 ]. The moment of inertia of the ear cartilage folded in half was more than 100 times that of the ear cartilage not folded in half.…”

Section: Discussionmentioning

confidence: 99%

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

Zhang

Wang

Ding

et al. 2022

Case Reports in Plastic Surgery and Hand Surgery

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“…There are various methods available to improve the nasal tip, including nasal tip suture techniques and various nasal tip grafting techniques 2–4 . For individuals of Asian descent, nasal tip grafts can be particularly effective in enhancing the projection, rotation, and definition of the nasal tip 5,6 …”

mentioning

confidence: 99%

Reconstruction of Nasal Tip Using “Seagull-shaped” Cavum Concha Cartilage Composite Scaffold

Gao,

Lu,

Zhang

et al. 2023

Journal of Craniofacial Surgery

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Background: The nasal tip plays a crucial role both esthetically and functionally. The application of nasal tip grafts is an effective method for improving nasal tip form. Ear cartilage is a common choice for nasal tip grafts, but it still presents several challenges in clinical application that need to be addressed. This study aims to address the issues associated with the use of ear cartilage in clinical rhinoplasty applications through the development of a novel septal extension graft using ear cartilage for nasal tip reconstruction. Methods: From May 2018 to April 2022, a total of 132 cases of nasal tip reconstruction surgeries were performed using a seagull-shaped nasal septum extension graft, constructed with bilateral cavum concha cartilage. Among these cases, 25 patients had previously undergone rhinoplasty using silicone implant, 7 patients had undergone augmentation rhinoplasty using expanded polytetrafluoroethylene, whereas the rest were primary rhinoplasty cases. All patients were followed up for a period ranging from 3 months to 4 years postoperatively, with photographs taken to assess the nasal tip morphology. Results: In this study, all patients exhibited good healing of the incisions made at the posterior aspect of the auricular concha, with no occurrences of hematoma and inconspicuous scarring. In 116 cases, significant improvement in nasal appearance and a realistic nasal tip form were achieved postoperatively, yielding satisfactory outcomes. Only 16 patients experienced minor issues with nasal tip morphology, which were subsequently improved through further surgical procedures. Conclusion: This study reports a surgical technique for nasal tip refinement using bilaterally harvested cavum concha cartilage to construct a seagull-shaped nasal septal extension graft. The procedure has achieved satisfactory outcomes, and its application is worth extending to clinical practice.

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A new technique in Asian nasal tip plasty: Non-incisional double-layered conchal cartilage graft

Cited by 8 publications

References 11 publications

Current Surgical Outcomes of Nasal Tip Grafts in Rhinoplasty: A Systematic Review

Current Surgical Outcomes of Nasal Tip Grafts in Rhinoplasty: A Systematic Review

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

Reconstruction of Nasal Tip Using “Seagull-shaped” Cavum Concha Cartilage Composite Scaffold

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