Extended Butterfly Graft for Functional and Cosmetic Correction of Saddle Nose Deformity

Vega-Cordova, Xavier; Brenner, Michael; Putman, Harrison C.

doi:10.1001/jamafacial.2019.0815

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…The surgical procedure for saddle nose deformity correction is determined by the severity of the deformity and other patient factors. [ 14 , 15 ] Grade 3 or higher severe saddle nose deformity requires L-strut reconstruction with costal cartilage; [ 16 , 17 ] however, this requires an additional surgical site and general anesthesia. The double-layer dermofat graft technique is a promising alternative because it is less invasive and relatively simple.…”

Section: Discussionmentioning

confidence: 99%

Simple method of saddle nose correction: A double-layer dermofat graft: case report

et al. 2022

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Introduction: Saddle nose deformities are typically reconstructed with cartilage grafts; however, conchal cartilage grafts are and associated with a risk of damage to the posterior auricular ligament and insufficient amounts, and costal cartilage grafts require invasive surgery under general anesthesia. We proposed a double-layer dermofat graft as an alternative to these methods.Patient concerns: Two patients with type IV saddle nose deformity underwent reconstruction with nasal augmentation with a double-layer dermofat graft harvested from the gluteal sulcus.Diagnosis: After operation, photogrammetric analysis demonstrated an improvement in the dorsal depression area, which corresponded to the angle between the sellion, most depressed point, and pronasale. Rhinoplasty Outcome Evaluation questionnaire was assessed. Interventions:The graft was divided into 2 sections; the first section was implanted transversely into the depressed nasal framework, and the second section was inserted vertically from the nasion to the supratip break for augmentation.Outcomes: Both patients reported high satisfaction with the Rhinoplasty Outcome Evaluation questionnaire. The mean preoperative angle between the sellion, most depressed point, and pronasale was 157.8°, and the mean postoperative angle at 6 months was 176.9°. Conclusion:The simple method double-layer dermofat graft technique demonstrated excellent outcomes in saddle nose deformity correction, did not require cartilage, and was easily performed under local anesthesia.

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Section: Discussionmentioning

confidence: 99%

Simple method of saddle nose correction: A double-layer dermofat graft: case report

et al. 2022

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“…The options for grafting may be constrained if using ear cartilage, however, a butterfly graft may be a useful reconstructive technique for milder cases. 14,15 Septal cartilage is usually impractical in these patients because they almost always have a preexisting deficiency, most commonly from a perforation. Irradiated homograft costal cartilage may be used and has been shown to have long-lasting results.…”

Section: Management Of the Caudal Septummentioning

confidence: 99%

Correction of the Saddle Nose Deformity

Hamilton

2020

Facial plast Surg

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Saddle nose deformities are among the most challenging problems in rhinoplasty. These patients have often had previous surgery and may have complicated medical histories. Reconstructing the septum is a necessary prerequisite to correcting the contour of the nose. With proper planning and thoughtful execution, patients suffering from disfiguring saddle noses can be safely operated on—even those with vasculitic diseases.

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Extended Butterfly Graft for Functional and Cosmetic Correction of Saddle Nose Deformity

Cited by 2 publications

References 7 publications

Simple method of saddle nose correction: A double-layer dermofat graft: case report

Simple method of saddle nose correction: A double-layer dermofat graft: case report

Correction of the Saddle Nose Deformity

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