Nasal Reconstruction Using Both Cranial Bone and Ear Cartilage

Çelik, Muzaffer; Tuncer, Serhat

doi:10.1097/00006534-200004050-00004

Cited by 30 publications

(15 citation statements)

References 7 publications

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“…4 Although bone grafts are frequently used, grafts extending from the radix to the nasal tip radix have disadvantages such as pain, fracture, and migration of the graft. 11 In addition, immobilization and stiffness at the nasal tip is almost inevitable. 12 However, cartilage grafts are softer and provide a more natural appearance.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Saddle Nose Deformity With Three-Dimensional Costal Cartilage Graft

Bilen

Kılınç

2007

Journal of Craniofacial Surgery

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Saddle nose deformity is characterized by depression of the nasal bone and the cartilage dorsum associated with a collapse in the upper lateral and alar cartilages. Etiopathogenesis usually involves trauma or invasive excision of the bone and cartilage. Surgical treatment for functional and aesthetic recovery relies on the use of grafts. Options for grafting include autogenous tissue such as bone or cartilage and alloplastic augmentation. Nine patients with saddle nose deformity underwent surgical reconstruction with autogenous costal cartilage. The deformity was the result of trauma in seven patients and secondary to surgery in two patients. Cartilage obtained from the sixth and seventh ribs was used as the graft material to compensate for the low nasal dorsum. Cartilage was used as a single unit and shaped to cover the nasal dorsum and the lateral nasal walls completely. The upper lateral cartilages were fixed to shaped cartilage graft. Additional cartilage grafts into the columella and septum were also placed in all patients. Functional and aesthetic outcome was satisfactory in all patients. As a result, using costal cartilage graft, a single unit allowed more predictable and reliable reconstruction of the saddle nose deformity than the conventional dorsal grafts.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of Saddle Nose Deformity With Three-Dimensional Costal Cartilage Graft

Bilen

Kılınç

2007

Journal of Craniofacial Surgery

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“…Dass die Vaskularisation von besonderer Bedeutung ist, stellte Burns [2] Eine Vielzahl autologer und alloplastischer Transplantationsmaterialien wurden bisher zur Rekonstruktion nasaler Defekte und zur Profilaugmentation verwendet [4,5,6,7,8,9]. Die meisten Chirurgen benutzen jedoch autologe Transplantate aus den dazu zur Verfügung stehenden körpereigenen Spenderregionen (Schädelknochen, Beckenkamm, Rippe, Septumknorpel, Konchaknorpel, Nasenknorpel [10,11,12]) sowie Kunststoffe.…”

Section: Hintergrundunclassified

Das Mastoid-Knochen-Knorpel-Transplantat

Pirsig¹,

Nagel²,

Maassen³

2015

J. f. Ästhet. Chirurgie

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Seit Beginn der Nasenchirurgie haben Deformitäten der Nase und des Mittelgesichts die Suche nach einem geeigneten Aufbaumaterial angeregt. Es erübrigt sich, die verschiedensten Stoffe aufzuführen, die verwendet werden, da sie hinreichend aus der Literatur bekannt sind und sich dabei bewährt haben, Veränderungen zu verbessern. Ob autologe oder heterologe Gewebe, ob Kunststoffe der verschiedenen chemischen Zusammensetzungen oder Metalle als Auffüllmaterial herangezogen werden -allen haftet ein Nachteil an: Sie haben kein oder nur ein dün-nes Deckgewebe oder benötigen organische oder andere Präparate zur Auflage unter die Haut, um sichtbare Irregularitäten zu vermeiden. Aus diesem Grund soll ein autologes zusammengesetztes Transplantat vorgestellt werden, welches von den Autoren im September 2009 erstmalig auf dem Jahreskongress der European Academy of Facial Plastic Surgery in Porto, Portugal, vorgetragen wurde. Es handelt sich um ein "composite graft" aus dem Mastoid-Ohr-Bereich.

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“…If the problem of secondary rhinoplasty patients is under-resection, it can be simply solved by resection of the excessive tissues. However, the most common problems in secondary rhinoplasty cases are over-resection or destruction of the osteocartilaginous structures which is called saddle nose deformity (SND) and needs to be reconstructed by graft materials [2].…”

Section: Introductionmentioning

confidence: 99%

“…The use of diced cartilage grafts (DCG) has become popular for dorsal reconstruction over the past decade [1][2][3][4]. However, it is well known that DCG may be displaced or absorbed over time, which is the reason for revision surgeries.…”

Section: Introductionmentioning

confidence: 99%