Dorsal Nasal Augmentation: Is the Composite Graft Consisting of Conchal Cartilage and Retroauricular Fascia an Effective Option?

Varedi, Payam; Bohluli, Behnam

doi:10.1016/j.joms.2015.05.036

Cited by 14 publications

(4 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fortunately, the patient healed well with antibiotics, local wound care, and observation without need for further intervention. Although controversial, 14,15 thicker PDS plates are thought to obstruct nutrient supply to the mucoperichondrial flap. 16 Several studies have confirmed the safety of open rhinoplasty with respect to blood flow to the nasal tip and columella given the rich subdermal anastomotic network, 17,18 and therefore we believe this complication to be the result of motion, excess tension, and foreign material, and not the result of the IA alone.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Safety and Efficacy for an Intranasal Airway Device in Nasal Surgery

Tripathi

Majd

Ngo

et al. 2019

JAMA Facial Plast Surg

View full text Add to dashboard Cite

IMPORTANCE Postoperative packing in nasal surgery often results in nasal obstruction and discomfort. Commercially available silicone intranasal airways (IAs) serve as dual-nasal airway tubes aimed at alleviating this process, but the safety and efficacy of these devices are unknown. OBJECTIVE To evaluate the safety and efficacy of an intraoperatively placed IA device in rhinoplasty and nasal surgery. DESIGN, SETTING, AND PARTICIPANTS In this retrospective record review, the medical records of patients undergoing nasal surgery with insertion of the IA at a single institution from 2012 to 2017 were reviewed. After review of over 200 patients, a questionnaire was developed to assess device efficacy. EXPOSURES Use of the IA device. The IA is 12 cm long, anchored across the columella, extends distally along the nasal floor, and has a proximal external portion used for cleaning and maintaining patency. Placed intraoperatively, the device aims to support air flow postoperatively in the face of edema, hemorrhage, and packing. RESULTS A total of 302 operations in 300 patients were analyzed, including primary and revision septorhinoplasty. A total of 24 (7.9%) patients self-removed or inadvertently dislodged the IA. Minor acute postoperative complications not unique to airway insertion included cellulitis in 4 (1.3%) participants and epistaxis in 6 (2%). Postoperatively, 1 (0.3%) patient developed dehiscence along transcolumellar incisions. A total of 59 patients (100% compliance) completed the efficacy questionnaire. The mean breathing score was between good and average (2.9 of 5), comfort scores between comfortable and average (2.9 of 5), and mean ease of irrigation score was between very easy and easy (1.96 of 5). The device was irrigated on average 3.57 times per day. A total of 43 (76%) particpiants had full patency or only partial obstruction, compared with 13 (24%) patients with total obstruction. In all patients, with or without obstruction, the effect lasted an average of 4 days. CONCLUSIONS AND RELEVANCE The device is safe and well-tolerated for maintaining patency of the nasal airway in patients undergoing rhinoplasty and nasal reconstruction without increased risk of incisional dehiscence. LEVEL OF EVIDENCE 4.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of Safety and Efficacy for an Intranasal Airway Device in Nasal Surgery

Tripathi

Majd

Ngo

et al. 2019

JAMA Facial Plast Surg

View full text Add to dashboard Cite

show abstract

“…Using retroauricular fascia and conchal cartilage, Varedi and Bohluli (2015) developed a composite graft. For dorsal augmentation, especially segmental augmentation, diced conchal cartilage compared well to intact perichondrium, according to the senior author of this paper [ 75 ]. The augmentation of the dorsal region with diced conchal cartilage wrapped in Surgicel was reported in Erol (2000) [ 76 ].…”

Section: Methodsmentioning

confidence: 99%

“…Performing revision surgery on these patients was unnecessary because the esthetic results were not compromised. Composite turbinate cartilage and retroauricular fascia grafts were effective in patients with moderate to severe nasal dorsal deficiency [ 80 ]. Kim et al (2015) studied diced conchal cartilage attached to the perichondrium to augment nasal dorsums, radixes, and tips.…”

Section: Methodsmentioning

confidence: 99%

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

Nikparto,

Yari,

Mehraban

et al. 2024

Maxillofac Plast Reconstr Surg

View full text Add to dashboard Cite

Background An essential aspect of rhinoplasty is the enhancement of the nasal dorsal contour by performing dorsal augmentation (DA) rhinoplasty. A wide range of techniques are available for DA as the demand for aesthetic nasal refinement grows. This review aims to provide a comprehensive overview of the current techniques used in DA rhinoplasty. Main body Research articles on DA rhinoplasty techniques were identified through a comprehensive literature search. Scopus, PubMed, and Web of Science were used as electronic databases. Each database was searched for articles published since its inception. DA rhinoplasty techniques were examined in this literature review. Methodological quality was assessed for the selected studies, and data was extracted to examine materials used, surgical approaches, and reported outcomes for each technique. Various DA methods, including autologous grafts and synthetic implants, are examined in-depth in this review. Comparing approaches can help better understand their respective advantages and limitations. Conclusion A wealth of techniques is available for DA rhinoplasty, each with advantages. Patients’ nasal anatomy, desired outcomes, and potential risks must be considered by surgeons when determining their surgical approach. DA methods continue to evolve rapidly, creating a need for a thorough understanding of the current landscape to make informed decisions.

show abstract

“…11). [16][17][18] The senior author (Y.J.J.) of this study has introduced a dorsal augmentation method involving diced conchal cartilage with attached perichondrium, showing that this method is suitable for moderate-to thick-skinned patients, with a low likelihood of infection or absorption of dorsal augmentation material.…”

Section: Ear Cartilagementioning

confidence: 96%

Dorsal Augmentation in Facial Profiloplasty

Jang

Yoo

2019

Facial plast Surg

View full text Add to dashboard Cite

Nasal profile line has central importance in forming an aesthetically balanced facial profile. Thus, rhinoplasty is a critically necessary surgery in shaping ideal profile line. For successful rhinoplasty, meticulous preoperative evaluation and proper planning should be performed before surgery. The nasal dorsum is the broadest and most prominent part of the nose; any minor imperfection is readily appreciated by an observer. Thus, dorsal augmentation is one of the most challenging areas in rhinoplasty as there is virtually no single ideal graft material and method for the nasal dorsum, which is free of aesthetic complication The surgeon should be able to discern the pattern of the abnormal nasal profile and to strategize the best possible surgical option to create a long-lasting, aesthetically pleasing dorsal line in good harmony with the overall facial profile. This study addresses our strategy to deal with various types of aesthetically unpleasant nasal profile line. The characteristics of augmentation materials and considerations in surgical technique are also addressed.

show abstract

Dorsal Nasal Augmentation: Is the Composite Graft Consisting of Conchal Cartilage and Retroauricular Fascia an Effective Option?

Cited by 14 publications

References 39 publications

Evaluation of Safety and Efficacy for an Intranasal Airway Device in Nasal Surgery

Evaluation of Safety and Efficacy for an Intranasal Airway Device in Nasal Surgery

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

Dorsal Augmentation in Facial Profiloplasty

Contact Info

Product

Resources

About