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

Nakakita, Nobuaki; Sezaki, Kouichirou; Yamazaki, Yasuharu; Uchinuma, Eiju

doi:10.1007/s002669900251

Cited by 21 publications

(8 citation statements)

References 13 publications

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“…(7) reemplazaron el poste columelar con una extensión septal de cartílago auricular, mientras que Nakakita et ál. (8) aumentaron el dorso y manejaron la punta con una estructura en L, conformada por cartílago auricular en múltiples capas. Falces describió el uso de un injerto en alas de gaviota, derivado de la concha para generar soporte adicional.…”

Section: Discussionunclassified

Nueva técnica para rinoplastia definitiva en labio y paladar hendido

Poortere¹,

Barreto

Burckhardt

2018

Acta otorrinolaringol cir cabeza cuello

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El labio y el paladar hendidos son deformidades congénitas frecuentes, conuna incidencia de 1:700. La deformidad nasal hendida presenta defectos óseos, cartilaginosos y cutáneos, separándola en dificultad de otras rinoplastias cosméticas. Los cartílagos laterales inferiores (LLC) son asimétricos; el de la hendidura presenta una crura medial corta, una crura lateral larga-débil y un domo hipoproyectado. La técnica clásica intenta convertir el cartílago alar de la hendidura en uno sano, avanzando la crura medial y realizando una lateralización del domo, modificaciones soportadas por el LLC sano. Esta tensión, que no es inocua, genera una gran carga,con resultados asimétricos y poco naturales. Nuestra técnica se enfoca en el LLC sano. Se dividen las cruras medial y lateral; se realiza una sutura de sobreposición, creando un cartílago lateral inferior fuerte con las dimensiones del LLC hendido. Los cartílagos idénticos distribuyen las fuerzas de forma simétrica, eliminando el desequilibrio y la tensión de la técnica clásica. Un poste columelar y un escudo brindan soporte y proyección. Una excelente rotación, proyección, definición y simetría de la punta han sido logradas de manera consistente en más de 30 casos. Nuestra técnica es simple, confiable y reproducible para corregir la deformidad nasal en el labio y el paladar hendido.

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Section: Discussionunclassified

Nueva técnica para rinoplastia definitiva en labio y paladar hendido

Poortere¹,

Barreto

Burckhardt

2018

Acta otorrinolaringol cir cabeza cuello

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“…These tissues may be used alone or in combination. 4 Although plenty of tissue is available at sites such as the iliac bone and the costal cartilage, 5 grafting from such sites poses a significant burden on the patient, causing problems such as pain after grafting. Moreover, these areas feel unnaturally hard when pressed from the skin surface, and unforeseen problems of deformation and absorption can occur after grafting these types of tissues.…”

Section: Discussionmentioning

confidence: 99%

Immediate Reconstruction After Removal of Nasal Prosthesis Using Diced Cartilage Wrapped With Temporal Fascia

Akimoto¹,

Ishikawa²,

Sugimoto³

et al. 2014

Journal of Craniofacial Surgery

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Various materials are used for nasal augmentations. Silicone is the most prevalent because it is durable and facilitates sculpturing. However, the unfortunate patient who presents with complication of the nasal implants and wants to remove them is vexed with a significant resultant cosmetic defect if the implant is removed. However, the patients who have some troubles after augmentation by the implants tend to hate the use of the prosthesis again. Ideally, immediate reconstruction would be offered to the patient, sparing him/her the deformity left by removal of the implant. We treated 16 patients who had undergone immediate nasal reconstruction after removal of foreign body. We reconstructed nasal deformity by diced cartilage wrapped with temporal fascia. The cartilage harvested from the ear concha was finally diced into 1- to 2-mm cubes. A bag was made from deep or superficial temporal fascia, and diced cartilage cubes were placed in the bag, which was grafted onto the nasal dorsum. This procedure had several advantages including getting natural contouring and enough volume and absence of foreign body reaction. It was also soft to the touch compared with prosthesis. The fascia could support the thin dorsum skin. The nasal augmentation effect of this procedure was comparable with that of prosthesis methods. It had lower risks for infection and exposure and provided more psychologic comfort. The nasal deformities were successfully reconstructed using diced cartilage wrapped with temporal fascia. We believe that this is the good method for the immediate nasal reconstruction after the removal of foreign body.

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“…The conchal graft involved consists of two layers of cartilage straightened by means of mattress sutures, incisions, and bending. The Lshaped graft of conchal cartilage described by Nakakita et al 13 for the treatment of cleft lip and palate consists of two superimposed strips for the nasal dorsum and one strip to serve as a columellar strut. Neu 14 proposes a combined graft of auricular cartilage and ethmoidal bone to ensure greater straightness and robustness.…”

Section: Reviewmentioning

confidence: 99%

Subtotal Septal Reconstruction by Using Conchal Graft

Boccieri

Marianetti

2013

Facial plast Surg

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Loss of the cartilaginous nasal septum, a condition frequently encountered in the practice of nasal surgery, can vary in scale depending on its etiopathogenesis. Previous surgery, trauma, and infection can lead to subtotal absence of the septum with severe functional and aesthetic problems. Use of the auricular concha for reconstructive purposes proves an immediate and effective method making it possible to replace the missing tissue without involving operations of a more invasive nature. The fundamental problem in the use of the auricular concha is making this type of cartilage as similar as possible to the cartilaginous septum, endowing it with the structural strength and straightness required for support and the respiratory function. Surgical procedures with the use of figure-eight sutures and grafts of cartilage harvested from the concha prove capable of performing this major task of morphofunctional transformation. The article describes the phases involved in achieving the set objectives.

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

Cited by 21 publications

References 13 publications

Nueva técnica para rinoplastia definitiva en labio y paladar hendido

Nueva técnica para rinoplastia definitiva en labio y paladar hendido

Immediate Reconstruction After Removal of Nasal Prosthesis Using Diced Cartilage Wrapped With Temporal Fascia

Subtotal Septal Reconstruction by Using Conchal Graft

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