Augmentation Grafts in Septorhinoplasty: Our Experience

Nataraj., Raghuram; Mohan, J; Reshma, Chavan; Kartik, Parelkar; H, Reshma; Singhal, Arpita; Kiran, Kulsange; Dev, Rengaraja; Kartik, Rao; Gupta, Payal

doi:10.4236/ijohns.2015.44054

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…An external rhinoplasty approach destroys some of the minor nasal tip support mechanisms that subsequently needed to be repaired 9 . Strut said to be a versatile method to avoid collapse of the tip by preventing it from falling off the cartilaginous nasal pyramid, and that strut graft maintains nasal tip projection 10 . We found that nasal tip projection slightly decreased from 0.63 to 0.62 in strut group of patients by using Goode ratio.…”

Section: Discussionmentioning

confidence: 99%

Columellar Strut Graft in Tip Rhinoplasty, Is It of Benefit?

Ahmed¹,

Zahra²,

Saeed³

2019

BJSRG

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Strut graft is an important, commonly used method to increase nasal tip projection and rotation. This study discuss its benefit by prospective analysis of a group of patients in which strut graft was used and compare it with a control group using digitalized photographs. The aim of this study is to evaluate the benefit of columellar strut graft and its effect on nasal projection and rotation using digital images. Thirty two patients were treated with external rhinoplasty. Using their photographs, we analyzed the projection and rotation of the nose before and after operation. The patients were classified into two groups: group A included 18 patients who have strut and group B included 14 patients without strut. The analysis of the photos of the two groups was done with a computer program. By using Goode method, nasal tip projection decreases from 0.63 to 0.62 for patients using the strut, while in patients without strut nasal tip projection decreases from 0.64 to 0.61. Nasal tip rotation slightly increased in patients with strut graft from 99 to 99.5 degrees, while in those without the graft, nasal tip rotation markedly increased from 95 to 103 degrees. In conclusion, external rhinoplasty decreases nasal tip projection and the use of strut graft is unnecessary in increasing nasal tip projection but it helps in preserving the projection and slightly increasing nasal tip rotation.

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Section: Discussionmentioning

confidence: 99%

Columellar Strut Graft in Tip Rhinoplasty, Is It of Benefit?

Ahmed¹,

Zahra²,

Saeed³

2019

BJSRG

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“…Autologous grafts are more available, ideal, more natural, and resulting in minimal immunological reactions. 7,8 Cartilage is the most commonly used graft because it could be used as a structural graft and fill the organ recipient's space, and it is easy to adjust to the recipient's shape and size. The graft could be harvested from the 5 th to 9 th costal ribs, but the 7 th rib is preferred.…”

Section: Introductionmentioning

confidence: 99%

“…The donor site morbidity included pain and incision scar. 8 Fat grafts are known to be the right choice for soft tissue augmentation material in plastic surgery. In early 1893, free fat had been used by Neuber to fill soft tissue defects.…”

Section: Introductionmentioning

confidence: 99%

Fat graft augmentation rhinoplasty compared to costal cartilage graft in saddle nose panfacial fractures

Widodo

Asmoro

Anatriera

2022

Oto Rhino Laryn Indones

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Background: Panfacial fracture can cause nasal function and esthetics alterations, one of which is saddle nose deformity. Post-traumatic saddle nose could be treated with augmentation rhinoplasty to correct the nasal structure and function. It can use autologous material such as fat graft and cartilage graft. Purpose: To report the effect of fat graft augmentation rhinoplasty compared to costal cartilage graft on patients’ satisfaction of saddle nose panfacial fracture cases. Case report: Reporting two cases of panfacial fracture with saddle nose. The first case, a 22-years-old female with multiple facial fractures underwent plate and screw fixation and nasal fracture close reduction followed by augmentation rhinoplasty using fat graft. The second case was a 23-years-old male diagnosed as blow-out fracture treated with internal fixation and costal cartilage augmentation rhinoplasty. Clinical question: Does fat graft augmentation rhinoplasty result in a better satisfaction level than costal cartilage graft in panfacial fracture with saddle nose cases. Review method: Evidence-based literature searching was performed through Pubmed, Scopus and Proquest databases to evaluate the effect of rhinoplasty augmentation using fat graft compared to costal cartilage on patient satisfaction level. Result: One study showed patient’s high satisfaction level after fat graft augmentation procedure. Another study showed that satisfaction rates were also high in cartilage graft augmentation patients. Conclusion: The advantages of using fat graft augmentation are the more natural esthetic outcome, easy to perform and low morbidity. Rhinoplasty Outcome Evaluation (ROE) questionnaire could be used to evaluate the outcome of augmentation rhinoplasty with high sensitivity and specificity.Keywords: saddle nose, panfacial fracture, fat graft augmentation, costal cartilage graft, ROEABSTRAKLatar belakang: Fraktur panfasial dapat mengakibatkan perubahan struktur wajah disertai kelainan fungsi dan estetika hidung, salah satunya deformitas saddle nose. Saddle nose pasca trauma wajah dapat ditatalaksana dengan rinoplasti augmentasi untuk memperbaiki struktur dan fungsi hidung. Rinoplasti augmentasi dapat menggunakan material tandur autologous misalnya tandur lemak dan kartilago. Tujuan: Melaporkan hasil augmentasi tandur lemak dibandingkan tandur kartilago iga terhadap tingkat kepuasan pasien kasus saddle nose fraktur panfasial. Laporan kasus: Dua kasus fraktur panfasial disertai saddle nose. Kasus pertama, perempuan 22 tahun dengan fraktur wajah multipel, dilakukan fiksasi internal menggunakan plate and screw dan reduksi tertutup fraktur nasal, dilanjutkan rinoplasti augmentasi tandur lemak untuk memperbaiki saddle nose. Kasus kedua, laki-laki 23 tahun dengan fraktur blow-out ditatalaksana dengan fiksasi internal dilanjutkan rinoplasti augmentasi tandur kartilago iga. Pertanyaan klinis: Apakah rinoplasti augmentasi tandur lemak menghasilkan tingkat kepuasaan pasien lebih baik dibandingkan tandur kartilago iga pada kasus saddle nose pada fraktur panfasial? Telaah literatur: Pencarian literatur mengenai pengaruh augmentasi tandur lemak dibanding tandur kartilago iga terhadap tingkat kepuasan pasien fraktur panfasial dalam database Pubmed, Scopus dan Proquest. Hasil: Satu artikel menunjukkan tingkat kepuasan pasien pasca rinoplasti augmentasi tandur lemak yang tinggi dengan tingkat morbiditas rendah. Artikel lain menunjukkan tingkat kepuasan yang juga tinggi pada pasien augmentasi tandur kartilago tanpa komplikasi mayor. Kesimpulan: Keuntungan penggunaan tandur lemak pada rinoplasti adalah terlihat lebih alami, lebih mudah dilakukan dengan morbiditas rendah, akan tetapi dengan tingkat resorpsi tinggi. Kuesioner Rhinoplasty Outcome Evaluation (ROE) dapat menjadi alat untuk menilai outcome dari rinoplasti augmentasi dengan sensitivitas dan spesifitas cukup tinggi.Kata kunci: saddle nose, fraktur panfasial, augmentasi tandur lemak, tandur kartilago iga, ROE

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Augmentation Grafts in Septorhinoplasty: Our Experience

Cited by 2 publications

References 7 publications

Columellar Strut Graft in Tip Rhinoplasty, Is It of Benefit?

Columellar Strut Graft in Tip Rhinoplasty, Is It of Benefit?

Fat graft augmentation rhinoplasty compared to costal cartilage graft in saddle nose panfacial fractures

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