Combined Use of Crushed Cartilage and Fibrin Sealant for Radix Augmentation in Asian Rhinoplasty

Yu, Myeong Sang; Kim, Bo‐Hyung; Kang, Su-Min; Lim, Dae Jun

doi:10.1097/prs.0000000000001114

Cited by 20 publications

(16 citation statements)

References 31 publications

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“…5 The authors suggested placing cartilage dices on the radix and then covering the dices with fibrin glue. This concept deviates in several ways from the diced cartilage glue graft described previously, 3,4 prompting us to highlight the key steps we consider to be crucial for an optimal anatomic shape of the graft and its long-term success ( Figure).…”

Section: Surgical Techniquementioning

confidence: 99%

The Diced Cartilage Glue Graft for Radix Augmentation in Rhinoplasty

Tasman

Suárez

2015

JAMA Facial Plast Surg

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Section: Surgical Techniquementioning

confidence: 99%

The Diced Cartilage Glue Graft for Radix Augmentation in Rhinoplasty

Tasman

Suárez

2015

JAMA Facial Plast Surg

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“…Yu et al 9 conducted a study of radix augmentation using crushed cartilage with fibrin sealant in Asian rhinoplasty; they reported that this technique was reliable and suitable for radix augmentation, with a reasonable complication rate. 9 In some cases, we used crushed cartilage wrapped in fascial lata, which showed good outcomes and acceptable results, with a low rate of complications (5 of 79 patients required revision corrective surgery). Crushed cartilage grafts are applied to cover anomalies and generate a softer nose, and they can also be applied to augment the radix.…”

Section: Discussionmentioning

confidence: 99%

Twelve-Year Experience With Nasofrontal Angle (Radix) Augmentation in Rhinoplasty

AlAwadh

Bogari

Bedaiwi

et al. 2022

Journal of Craniofacial Surgery

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The nasofrontal angle (radix) has a great impact on the rhinoplasty outcome. Minimal alterations in this area can give an unusual nasal appearance and midfacial length. Different management approaches have been described with regard to radix augmentation. This study aimed to describe the techniques of rhinoplasty, different materials used in the procedure, and results of at least 1 year of follow-up in our 12-year experience in this field. The authors retrospectively reviewed the data of patients who underwent rhino-plasty/septorhinoplasty with radix augmentation performed by 1 of the authors (a senior surgeon at our institution) using different graft materials, between January 2007 and December 2019. Patients younger than 18 years or who were followed up for less than 1 year were excluded from the study. In total, 387 patients (235 [60.7%] female; age range, 19–39 years) were included. Primary procedures were performed in 311 patients (80.5%), and revision procedures were performed in 76 patients (19.6%). Most patients (97%) were satisfied with the aesthetic result. There was no incidence of infection, displacement, or extrusion of the graft. The only complications observed were irregularities; 3% required revision surgery. It is important to consider the nasal radix when pursuing a balanced profile in rhinoplasty. Many graft materials can be used safely and can achieve good aesthetic outcomes. Proper anatomical analysis and patient selection are essential for successful graft placement.

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“…The interrater and intrarater reliabilities were assessed using intraclass coefficient. Intra-class coefficients between 0.60 and 0.80 were considered substantial; coefficients greater than 0.80 were excellent [ 6 ].…”

Section: Methodsmentioning

confidence: 99%

Reduction of Nasal Bone Fracture using Ultrasound Imaging during Surgery

Hwang

Pan

Kim

et al. 2016

Arch Craniofac Surg

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BackgroundMost nasal bone fractures are corrected using non-invasive methods. Often, patients are dissatisfied with surgical outcomes following such closed approach. In this study, we compare surgical outcomes following blind closed reduction to that of ultrasound-guided reduction.MethodsA single-institutional prospective study was performed for all nasal fracture patients (n=28) presenting between May 2013 and November 2013. Upon research consent, patients were randomly assigned to either the control group (n=14, blind reduction) or the experimental group (n=14, ultrasound-guided reduction). Surgical outcomes were evaluated using preoperative and 3-month postoperative X-ray images by two independent surgeons. Patient satisfaction was evaluated using a questionnaire survey.ResultsThe experimental group consisted of 4 patients with Plane I fracture and 10 patients with Plane II fracture. The control group consisted of 3 patients with Plane I fracture and 11 patients with Plane II fracture. The mean surgical outcomes score and the mean patient dissatisfaction score were found not to differ between the experimental and the control group in Plane I fracture (p=0.755, 0.578, respectively). In a subgroup analysis consisting of Plane II fractures only, surgeons graded outcomes for ultrasound-guided reduction higher than that for the control group (p=0.007). Likewise, among the Plane II fracture patients, those who underwent ultrasound-guided reduction were less dissatisfied than those who underwent blind reduction (p=0.043).ConclusionOur study result suggests that ultrasound-guided closed reduction is superior to blind closed reduction in those patients with Plane II nasal fractures.

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Combined Use of Crushed Cartilage and Fibrin Sealant for Radix Augmentation in Asian Rhinoplasty

Abstract: Therapeutic, IV.

Cited by 20 publications

References 31 publications

The Diced Cartilage Glue Graft for Radix Augmentation in Rhinoplasty

The Diced Cartilage Glue Graft for Radix Augmentation in Rhinoplasty

Twelve-Year Experience With Nasofrontal Angle (Radix) Augmentation in Rhinoplasty

Reduction of Nasal Bone Fracture using Ultrasound Imaging during Surgery

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