Use of Composite Ear Grafts in Correction of the Short Nose

Dingman, Reed O.; Walter, C

doi:10.1097/00006534-196902000-00001

Cited by 55 publications

(10 citation statements)

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“…4 For moderate (3-to 5-mm foreshortened nose) and severe (more than 5 mm) nasal shortening, a combination of maneuvers is necessary. Septal lengthening techniques include the double-sided composite conchal graft, dissected through the vertical axis to provide septal lengthening and lengthening of the vestibular lining 11 ; the placement of cartilage L-struts, as well as the DARTT (dynamic adjustable rotation tip tensioning) technique 12 ; and a more direct solution, with the single-sided composite conchal graft. 13 With the scarcity of usable septal cartilage in the shortened nose, techniques have been described that depend on other autologous cartilage sources and the rearrangement of autogenous nasal tissue, including septal cartilage rearrangement with costal cartilage struts along the bridge into the columella, 14 release of the upper lateral cartilages from the septum followed by repositioning and fixation with batten grafts derived from either septal or conchal cartilage, 15,16 gull wing conchal grafts paired with costochondral dorsal onlay grafts, 2 and the placement of two caudal extending spreader grafts affixed to the septum with a columellar strut between the medial crura (the tongue-and-groove technique).…”

Section: Surgical Optionsmentioning

confidence: 99%

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Nose Elongation: A Review and Description of the Septal Extension Tongue-and-Groove Technique

Ponsky

Harvey

Khan

et al. 2010

Aesthetic Surgery Journal

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Several articles have been published about the short nose, many of which begin with a statement about the difficulty and complexity that this deformity poses for the rhinoplasty surgeon. Regardless of the challenges, many surgeons have undertaken the task of elongating the short nose and have subsequently shared with the rhinoplasty community the subtle techniques they have developed through their experience. The authors present a review of the literature that has contributed to the understanding of the etiology, evaluation, assessment, and operative procedures in the reconstruction of the short nose, specifically with regard to septal extension grafts. Additionally, the senior author's (BG) technique and experience of nearly 30 years of practice is described.

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Section: Surgical Optionsmentioning

confidence: 99%

“…The double-sided skin composite conchal graft, as mentioned for nasal lengthening, was designed to produce nasal lining. 11 However, the single-sided skin composite graft is most appropriate 13 because of its more minimal technical difficulty and reduced risk of deformity to the donor site.…”

Section: Surgical Optionsmentioning

confidence: 99%

Nose Elongation: A Review and Description of the Septal Extension Tongue-and-Groove Technique

Ponsky

Harvey

Khan

et al. 2010

Aesthetic Surgery Journal

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“…In recent years, septal cartilage and auricular cartilage have been used for nasal tip and dorsum augmentation [2,9,10,[13][14][15][16]. In particular, because auricular cartilage is thin and flexible, it is possible to adjust the thickness of the graft by using it in combination, and it is highly useful as a material for dorsum augmentation [3,6].…”

Section: Discussionmentioning

confidence: 99%

Augmentation Rhinoplasty Using an L-Shaped Auricular Cartilage Framework Combined with Dermal Fat Graft for Cleft Lip Nose

Nakakita¹,

Sezaki²,

Yamazaki³

et al. 1999

Aesthetic Plastic Surgery

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We prepared an L-shaped framework using autogenous auricular cartilage and combined this with dermal fat, according to each patient, to graft it in 12 patients with cleft lip nose. Although auricular cartilage is weak on its own, by our method we obtained a strong columella strut and nasal dorsum augmentation at the same time. Dermal fat graft provided camouflage for cartilage irregularities and was useful for increasing the graft volume. Although absorption caused a decreased volume to a certain extent, there were no other complications such as cyst formation, and a natural nasal contour was achieved in all patients.

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“…Success was attained in only 25 (53%) of the cases.1·2 Utilization of an auricular composite graft for repair of an ear defect was reported by Lexer in 19063 and, in this country, by Day4 in 1921. The success of Day's procedure was confirmed by his patient's statement that he "liked his new ears better than his original ones."…”

Section: Historymentioning

confidence: 96%