Rainbow graft for tip reconstruction in revision rhinoplasty

Bracaglia, Roberto; Servillo, Maria; Fortunato, Regina; Pino, Valentina; Albanese, Roberta; Gentileschi, Stefano

doi:10.1016/j.bjps.2019.08.017

Cited by 8 publications

(7 citation statements)

References 26 publications

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“…Best of our knowledge, there is only one study in the literature reported results of one-piece graft technique in rhinoplasty, similar to present study. 21 Bracaglia et al named this technique as 'rainbow graft' but unlike the present study, all of the patients were operated for revision rhinoplasty, with nasal shape distrosion, nasal tip asymmetry and other complex deformities. They reported that they used ear cartilage for the graft due to inadequate cartilage tissue in septal area.…”

Section: Discussionmentioning

confidence: 80%

A New Graft Technique For Rhinoplasty: Modified One-Piece Nasal Cap With Alar Strut Graft

Resuli

Öktem

2020

Journal of Craniofacial Surgery

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Objectives: This study was aimed to evaluate the effectiveness of the new graft technique-modified one-piece nasal cap with alar strut graft in rhinoplasty; both for aesthetical appearance and nasal functions. Methods: Forty-two patients, who underwent primary rhinoplasty operation with the new graft technique, were evaluated visually by photographing and functionally by the Cottle test and rhinomanometry measurement. Results: All of the patients had sufficient nasal vision; also nasal valve angles became wider and Cottle tests were negative in all patients after surgery. Postoperative nasal airflow values (both left and right) were significantly higher, and airway resistance (left, right, and total) values were significantly lower than preoperative values. Conclusion: With the new graft technique, the authors obtained both satisfying aesthetic results and intended functional improvement. This technique may be an alternative to combination of multiple graft techniques; with advantages of practical performing and less complication risks.

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Section: Discussionmentioning

confidence: 80%

A New Graft Technique For Rhinoplasty: Modified One-Piece Nasal Cap With Alar Strut Graft

Resuli

Öktem

2020

Journal of Craniofacial Surgery

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“…Pedroza et al 46 addressed lateral cartilages as well as columellar retraction by utilizing a combination of seagull wing and shield grafts. Bracaglia et al 47 introduced a “rainbow graft,” which resolves asymmetry, dome angulation with cartilage interruption, alar pinch and retraction, and underprojection, all with a single graft. A multitude of other such combination grafts have been reported.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have also compared outcomes in columellar strut versus other tip-altering techniques. When compared with a tongue-in-groove approach, a randomized Plastic and Reconstructive Surgery • October 2023 608e 54 6-48 N N Y (n = 14) Bilgili and Çerçi Özkan (2020) 20 1-2 yrs Y N NS Bracaglia et al (2020) 47 5 yrs N Y N Bucher et al (2020) 28 17 Y N NS Carron et al ( 2013) 24 32 Y N N Choi et al ( 2014) 37 12 Y Y Y (n = 6) Han et al (2017) 38 7 Y N Y (n = 3) Dayan and Ashourian (2016) 56 1 yr Y N Y (n = 2) Dhong et al ( 2013) 22 12 Y N N Emsen (2016) 42 1 38 20 Y N N Jallut and Bartolin (2021) 14 1-15 yrs Y N Y (n = 34) Jang and Kim (2011) 43 14 Y N Y (n = 6) Jang et al (2011) 40 28 Y N Y (n = 14) Kim (2015) 49 12 Y N Y (n = 1) Kim et al (2019) 23 10 Y N N Kim et al ( 2014) 31 10 Y Y Y (n = 12) Kim and Choi (2020) 35 15 Y Y Y (n = 1) Lin et al (2013) 48 26 N N Y (n = 5) Min and Jang (2011) 41 13 Y N Y (n = 6) Mo and Jung (2021) 25 Copyright © 2023 American Society of Plastic Surgeons. Unauthorized reproduction of this article is prohibited.…”

Section: Discussionmentioning

confidence: 99%

Current Surgical Outcomes of Nasal Tip Grafts in Rhinoplasty: A Systematic Review

Skochdopole

Bay

Grome

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Background: Refinement of the nasal tip plays an important role in rhinoplasty surgery outcomes and may be considered the most technically challenging aspect of the procedure. Numerous techniques have been described for nasal tip augmentation utilizing grafts. The aim of this study was to systematically review the existing literature on nasal tip grafts and appraise it critically. Methods: A PubMed search was performed to identify journal articles related to nasal tip grafts from the past decade. A total of 44 studies met inclusion criteria. The Newcastle-Ottawa Quality Assessment Scale and Jadad scale were used to appraise 38 observational studies and six randomized trials, respectively, to determine the quality of the studies. Results: Critical assessment revealed that the studies were highly variable in focus and encompassed autologous, homologous, and alloplastic grafts. The quality of the data included an average Newcastle-Ottawa Quality Assessment Scale score of 6.5 (out of 9) and Jadad score of 2.5 (out of 5). A majority of studies (86.4%) included objective outcomes using anthropometric measurements and a portion of studies (27.3%) also included patient-reported outcomes. Conclusions: The results of this systematic review suggest that more than one type of nasal tip graft may result in satisfactory outcomes. This review provides an expansive collection of studies on nasal tip grafts, which can serve as an invaluable tool for the plastic surgeon engaging in rhinoplasty.

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“…More recently, Tasman described using diced cartilage in tissue glue [14] . It is important to recognize that some common cartilage softening techniques are destructive to chondrocytes and can diminish the long-term viability of the grafts [15] . Crushing and shaving are most likely to damage the cellular structure of the cartilage [15] .…”

Section: Correctionmentioning

confidence: 99%

Correction and prevention of tip asymmetries, bossae, and alar retraction

Randall,

Peraza,

III

2024

Plast Aesthet Res

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Secondary rhinoplasty to address complications from initial surgical intervention is a technically challenging operation. Common aesthetic complications that plague patients after primary rhinoplasty include nasal tip asymmetries, bossae, and alar retraction. These adverse outcomes are usually a result of over-manipulation and/or over-excision of native cartilage and are especially prevalent in patients with thick lower lateral cartilages and thin nasal skin. Techniques to minimize tissue handling, maintain natural nasal anatomic support and structure, and soften sharp edges from cartilage grafts or incisions are all essential in the prevention of nasal tip irregularities. In addition to prevention, there are many operative and procedural interventions to correct tip asymmetries, bossae, and alar retraction. These interventional corrections include varying cartilage and/or fascial grafts, camouflaging of previously performed grafts, and repositioning of the alar cartilage.

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Rainbow graft for tip reconstruction in revision rhinoplasty

Cited by 8 publications

References 26 publications

A New Graft Technique For Rhinoplasty: Modified One-Piece Nasal Cap With Alar Strut Graft

A New Graft Technique For Rhinoplasty: Modified One-Piece Nasal Cap With Alar Strut Graft

Current Surgical Outcomes of Nasal Tip Grafts in Rhinoplasty: A Systematic Review

Correction and prevention of tip asymmetries, bossae, and alar retraction

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