Comparison of different autografts for aural cartilage in aesthetic rhinoplasty: is the tragal cartilage graft a viable alternative?

Zinser, Max; Siessegger, Mathias; Thamm, Oliver C.; Theodorou, Panangiotis; Maegele, M.; Ritter, Lutz; Kreppel, Matthias; Sailer, Martin; Zöller, Joachim E.; Mischkowski, Robert A.

doi:10.1016/j.bjoms.2013.04.001

Cited by 12 publications

(7 citation statements)

References 18 publications

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“…The conchal cartilage is characterized by irregular structure and curvature 4,5 . The intrinsic convexities and concavities of the ear often prevent tissue adhesion and surgical cavity closure after cartilage harvest.…”

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confidence: 99%

A Simple Dressing Fixation Method Following Harvest of the Ear Cartilage Graft

Zhang

Zong

et al. 2020

Journal of Craniofacial Surgery

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The blood supply from the BFP comes from branches of the internal maxillary, superficial temporal, and facial arteries. This complication may be associated with deep dissection of the oral space or a vascular avulsion injury from traction on the BFP. If local measures such as compression and blood vessel suture fail to achieve hemostasis, other methods to stop bleeding should be adopted immediately to prevent further severe complications that can be life-threatening. 13,14 Careful removal of this structure should be performed with precise indication for its removal. 21 Although bichectomy is being widely performed on a clinical basis, there are not enough long-term follow-up studies that can evaluate the effect in facial aging, function, and report complications. 22 A retrospective study analyzed data regarding buccal fat pad excision highlights the importance of long-term patient follow up to access information about satisfaction level and postoperative complication. 17 A recent systematic review evaluated eight articles in order to identify the indications, complication types and rates, surgical techniques, and outcomes, all of it achieved a high risk of bias, and none of them were retrospective or prospective clinical trials. 7 CONCLUSIONComplications need to be prevented, and knowledge is required for the management and treatment of these complications.

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confidence: 99%

A Simple Dressing Fixation Method Following Harvest of the Ear Cartilage Graft

Zhang

Zong

et al. 2020

Journal of Craniofacial Surgery

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“…Especially, the nasal valve compromise is a major cause of nasal obstruction. 12,16,17 In this study, we proposed the concept of an exogenous extension stent. Exogenous extension does not depend on the force of septal cartilage and rarely dissect septal cartilage.…”

Section: Discussionmentioning

confidence: 99%

“…There is a significant risk in Asians of taking up nasal volume and causing ventilation dysfunction, which is very common in the clinic. Especially, the nasal valve compromise is a major cause of nasal obstruction 12,16,17 …”

Section: Discussionmentioning

confidence: 99%

An Innovative Stent Consisting of Expanded Polytetrafluoroethylene and Ear Cartilage in Rhinoplasty For Asians: Application I of Dai’s Exogenous Extension Stent Concept

Yu,

Chen,

Chen

et al. 2023

Journal of Craniofacial Surgery

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Background: Restricted ventilation is common after rhinoplasty with an endogenous extension stent. The authors proposed an exogenous extension stent concept for Asian rhinoplasty patients to avoid this problem. Herein, we introduce an innovative stent in rhinoplasty for Asians, which is an application of this concept. Methods: An L-shaped expanded polytetrafluoroethylene is hand-carved, and the long arm is placed at the nose back to improve the flatness of the nose, while the short arm supports the nasal column to raise the nose tip. The prosthesis does not occupy nasal volume and therefore theoretically does not affect nasal ventilation. The fan-shaped ear cartilage was placed at the nasal tip to prevent visualization of the nasal tip. The safety and effectiveness of this method were verified through 20 years of clinical practice. The difficulty of learning and popularizing the method was tested through the course of rhinoplasty among 22 plastic surgeons. Results: After 20 years of clinical practice, it was found that this stent could not only effectively improve the nasal dorsum and tip morphology, but also did not actually affect the nasal volume and thus did not affect the nasal ventilation of patients. Among the trainees in plastic surgery, we found that it was not difficult to learn this method of rhinoplasty and the trainees could complete the prosthesis carving well after standardized training. Conclusion: This stent consisting of expanded polytetrafluoroethylene and ear cartilage is suitable in rhinoplasty for Asians with significant advantages, one of which is that it has no risk of resulting in restricted nasal ventilation. Level of Evidence: Level IV.

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“…Conchal cartilage was used for camouflage and dorsal augmentation grafts, although a double layer conchal cartilage graft can also be used as a columellar strut. 12 Where smaller cartilage grafts were needed (such as for camouflage), we utilized tragal cartilage which is ideal if no longer than 20mm is required. 13 In our initial series, the majority of patients who underwent septorhinoplasty for deformity had crooked noses secondary to old nasal bone fractures, and the open rhinoplasty approach was used more often.…”

Section: Discussionmentioning

confidence: 99%

An Initial Survey of Septorhinoplasty in Crooked Nose Deformities

Villafuerte

Lapeña

2016

Philipp J Otolaryngol Head Neck Surg

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Objectives: Crooked nose deformity is a commonly seen reason for septorhinoplasty in the otolaryngology clinic. The purpose of this study is to initially determine the different etiologies of patients with crooked nose deformities who underwent septorhinoplasty, and to describe the different types of crooked nose by their level of deviation and surgical management in our institution. Methods: Study design: Case Series Setting: Tertiary Public University Hospital Subjects: A chart review of all patients with a crooked nose deformity who were admitted at the otorhinolaryngology ward of the National University Hospital and underwent septorhinoplasty from January 2012 to January 2015 was conducted, and data consisting of age, sex, etiology of crooked nose deformity, level of deviation, cartilage source, and surgical intervention were obtained and analyzed. Results: A total of 21 patients underwent septorhinoplasty for crooked nose deformity in the study period. The most common etiology for crooked nose was physical violence (13/21 or 62%), followed by sports injury (4/21 or 19%), vehicular accidents (2/21 or 9%), and accidental fall (1/21 or 5%). There were more upper and middle third deviations than lower third deviations. Sixteen out of 21 patients (76%) underwent open rhinoplasty, while the rest underwent an endonasal approach. Twelve (57%) underwent intervention on the nasal fracture after at least a year (old or neglected fracture) as compared to the 9 (43%) who had immediate intervention after less than two weeks. Thirteen used septal cartilage, while 4 used conchal cartilage, and 1 used tragal cartilage. The most common grafts used were spreader and camouflage, followed closely by dorsal onlay, and columellar strut grafts. Conclusions: The majority of crooked nose deformities that were subjected to septorhinoplasty in our department were secondary to old nasal bone fractures caused by physical violence. Upper and middle third level deviations were more common, and most underwent open rhinoplasty with autologous cartilage grafts. Future studies may increase our understanding of, and improve our techniques in septorhinoplasty for crooked nose deformities in Filipino noses in particular, and Asian noses in general. Keywords: rhinoplasty, deviated nose, crooked nose, septorhinoplasty, nasal trauma

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Comparison of different autografts for aural cartilage in aesthetic rhinoplasty: is the tragal cartilage graft a viable alternative?

Cited by 12 publications

References 18 publications

A Simple Dressing Fixation Method Following Harvest of the Ear Cartilage Graft

A Simple Dressing Fixation Method Following Harvest of the Ear Cartilage Graft

An Innovative Stent Consisting of Expanded Polytetrafluoroethylene and Ear Cartilage in Rhinoplasty For Asians: Application I of Dai’s Exogenous Extension Stent Concept

An Initial Survey of Septorhinoplasty in Crooked Nose Deformities

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