Architectural Deficiencies of the Nose

Dyer, Wallace K.; Beaty, Mark M.; Prabhat, Arvind

doi:10.1016/s0030-6665(05)70117-1

Cited by 21 publications

(4 citation statements)

References 17 publications

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“…Tip-support mechanisms have been well described and are divided into major and minor categories (Table 1). 11 Major tip-support mechanisms are often violated by rhinoplasty maneuvers. The complete transfixion incision weakens the ligamentous attachments of the medial crura to the septum.…”

Section: Nasal Tipmentioning

confidence: 99%

Structural Grafting in Rhinoplasty

Quatela¹,

Jacono²

2002

Facial Plast Surg

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Many surgeons consider cosmetic rhinoplasty to be one of the most challenging facial plastic surgical procedures. Open-structure rhinoplasty allows for visualization of bony-cartilaginous deformities, preservation of nasal structural integrity, and precise nasal reshaping. The ultimate, external appearance of the nose is the sum of the interaction of the bony-cartilaginous skeleton and the skin soft-tissue envelope. This article describes the use of autologous, structural cartilage grafts in primary and secondary rhinoplasty. Emphasis is placed on the use of septal, auricular, and costal cartilage grafts to provide for a structurally sound skeletal framework and thereby a predictable postoperative result. Deformities of the middle and lower third of the nose are specifically addressed.

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Section: Nasal Tipmentioning

confidence: 99%

Structural Grafting in Rhinoplasty

Quatela¹,

Jacono²

2002

Facial Plast Surg

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“…As Yeo and Jang 9 stated that saddle nose mainly attributes to a shortened or dislocated septal caudal strut, the dominant feature of this deformity turns out to be an abnormal missing of septal support and nasal dorsal height with internal valve collapse. The classifications of saddle nose have been previously described by Seltzer et al 10–13 In 2003, Hyun and Jang 14 proposed their modified classification to better categorize saddle nose in Asian people. According to their classification, minor supratip or cartilaginous dorsal depression was concluded to Type I and moderate to severe cartilaginous dorsal depression was classified as Type II.…”

Section: Discussionmentioning

confidence: 99%

Septal Reconstruction With Folded Porous Polythylene Implants: An Alternative Technique for the Correction of Severe Saddle Nose Deformities in Asian Populations

Min

Wang

Zhang

et al. 2020

Journal of Craniofacial Surgery

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Background: Congenital or secondary deficiency in septal cartilage leads to an unpleasant cosmetic appearance and compromised function as well. Rhinoplasty maneuvers such as spreader graft and septal extension graft with autologous tissue have been exhibited to correct the deformities. However, the relatively severe donor site morbidity stands as a main concern for both surgeons and patients. Methods: From January of 2014 to April of 2018, 52 patients presenting septal deformities underwent rhinoplasty with our modified technique. A piece of Medpor (8438) was tailored, folded and then placed as a combination of spreader and septal extension graft. The surgical outcomes were evaluated both objectively and subjectively. Results: All the patients were followed up for 12 to 24 months postoperatively. The ratio of tip projection and the nasal length exhibited significant improvement in all our patients. Nasal obstruction subjectively mended among the 24 patients who had airway obstruction complaint preoperatively. Only 2 patients had severe adverse events and the implants were removed instantly. Conclusions: With our modified technique, Medpor proved to be an effective and reliable material for the reconstruction of septal cartilage, which provides us an alternative way to achieve extended spreader and septal extension graft with one single implant in the correction of saddle nose.

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“…Rhinoscleroma, syphilis, and leprosy are less frequent infectious causes. 6 Wegener's granulomatosis is an autoimmune disorder that is characterized by vasculitis, glomerulonephrosis, and pneumonitis. The vasculitis may cause erosion and collapse of the nasal septum.…”

Section: Discussionmentioning

confidence: 99%

“… 3 The level of donor site pain in the chest and hip is somewhat higher than that in the skull. 6 Therefore it is recommended that outer table calvarium be considered as the primary source of bone graft for augmentation of the short nose. Calvarial bone is strong and thin.…”

Section: Discussionmentioning

confidence: 99%

Interlocking Calvarial Bone Grafts: A Solution for the Short, Depressed Nose

Leach¹

2000

The Laryngoscope

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Architectural Deficiencies of the Nose

Cited by 21 publications

References 17 publications

Structural Grafting in Rhinoplasty

Structural Grafting in Rhinoplasty

Septal Reconstruction With Folded Porous Polythylene Implants: An Alternative Technique for the Correction of Severe Saddle Nose Deformities in Asian Populations

Interlocking Calvarial Bone Grafts: A Solution for the Short, Depressed Nose

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