Bone grafts as a recyclable material in nasal surgeries

Kayabaşoğlu, Gürkan; Yılmaz, Mahmut Sinan; Altundağ, Aytuğ; Çayönü, Melih; Varlı, Ali Fuat; Güven, Mehmet

doi:10.1016/j.anl.2014.07.003

Cited by 12 publications

(8 citation statements)

References 12 publications

(10 reference statements)

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“…Obesity as a risk factor for an increase in the drainage time has been reported in previous research. The possible reason is that as obese patients often have thick nasal skin, the wound surface during the operation is relatively large, and tissue damage is more serious than that in nonobese patients, which increases the drainage time after the operation 22. Research has also shown that obesity was positively correlated with platelet activation and coagulation dysfunction,23,24 and it is speculated that this may also be related to the increase in drainage time.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Factors Affecting Postoperative Drainage After Comprehensive Rhinoplasty

Sun

Sheng

et al. 2022

Journal of Craniofacial Surgery

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This study aimed to explore and analyze the factors influencing the drainage volume after comprehensive rhinoplasty. The clinical data of 102 patients who underwent comprehensive rhinoplasty at Shanghai Ninth People’s Hospital affiliated to Shanghai Jiao Tong University School of Medicine from August 2019 to August 2021 were retrospectively analyzed. The effects of age, sex, body mass index, whether an osteotomy was performed, and whether a nasal septum flap was obtained on the indwelling time of the drainage tube after the operation were analyzed by single factor analysis and multiple logistic regression analysis. Age, body mass index, whether it was a primary rhinoplasty, whether an osteotomy was performed, and whether a nasal septum flap was obtained were the influencing factors for drainage time after augmentation rhinoplasty (P<0.05). Sex had little effect on the drainage time after comprehensive rhinoplasty (P>0.05). Body mass index, whether an osteotomy was performed and whether a nasal septum flap was obtained were the independent influencing factors for the postoperative drainage time (P<0.05). For patients with multiple independent influencing factors, individualized management during the perioperative period should be promoted, and reasonable treatment strategies should be formulated, so as to reduce the indwelling time of the drainage tube after the operation.

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Section: Discussionmentioning

confidence: 99%

Analysis of Factors Affecting Postoperative Drainage After Comprehensive Rhinoplasty

Sun

Sheng

et al. 2022

Journal of Craniofacial Surgery

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“…These bones are also not absorbed due to the submucosal and subperiosteal dissection. 21,22 Fixation of bone grafts to the L-strut can be facilitated by drilling several holes, allowing a secured fixation of the bone graft. These holes allow rapid ingrowth of vascularized tissue.…”

Section: Discussionmentioning

confidence: 99%

“…23 The thin and flattened PPE grafts in the literature are employed to enhance caudal septum stability. 16,[19][20][21]24 Through these efforts, an optimal nasal tip rotation and projection via the efficient use of minimal septal cartilage was achieved. Our results show the improvement of tip projection as well as tip rotation.…”

Section: Discussionmentioning

confidence: 99%

Bony Cartilaginous Graft in Unilateral Cleft Lip Rhinoplasty

Nguyen

Tran

et al. 2022

Journal of Craniofacial Surgery

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Background: Cleft rhinoplasty is a challenging form of nasal correction of both esthetic and functional deformities. The septal cartilage in many Asian patients are not sufficient and weak. Does a combination of the septal cartilage and the bony septum have both esthetic and functional benefits to secondary unilateral cleft rhinoplasty? Patients and Methods: Thirty patients with a unilateral cleft lip palate underwent open rhinoplasty from October 2018 to January 2021. After preserving a 10 mm L-strut, the posterior cartilaginous and bony septum were harvested as an integrative unit. The osteocartilaginous graft was used as a caudal septal extension graft and an extended spreader graft. Correcting the asymmetry of the tip and tip projection followed. The intraoperative harvested composite graft was analyzed. Acoustic rhinometry and the 3-dimensional anthropometric measurements of the external nose were assessed before and after surgery. Results: The osteocartilaginous unit was much larger than the cartilaginous part of this unit. The mean nasal tip height and the nasolabial angle increased significantly after surgery. The measurement of cross-sectional areas and volumes by acoustic rhinometry revealed that septorhinoplasty provided a significant increase in the function of both nasal cavities. Conclusions: This septal bony cartilaginous graft is effective for cleft lip nasal deformity when correcting the deviated septum, creating a supporting frame to correct the nasal tip asymmetry, improving function.

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“…3,4,10,11 The use of cartilage in combination with bone can help in the formation of grafts in difficult situations. In addition, cartilage alone does not possess sufficient strength for use as an internal splint for straightening the external nose or septal deviations.…”

Section: Discussionmentioning

confidence: 99%

“…Several articles have been published in the past on the use of septal bony pieces as grafts in septorhinoplasty 3,4,10,11 ; this article reports the use of the bony cartilaginous unit. The advantages of using septal bone in conjunction with cartilage as an integrated unit to correct external nose deformities and septal deviation, especially in cartilage-depleted patients, have been shown in the present study.…”

Section: Discussionmentioning

confidence: 99%

The bony cartilaginous unit: the missing graft in septorhinoplasty

Sazgar

2016

International Journal of Oral and Maxillofacial Surgery

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Bone grafts as a recyclable material in nasal surgeries

Cited by 12 publications

References 12 publications

Analysis of Factors Affecting Postoperative Drainage After Comprehensive Rhinoplasty

Analysis of Factors Affecting Postoperative Drainage After Comprehensive Rhinoplasty

Bony Cartilaginous Graft in Unilateral Cleft Lip Rhinoplasty

The bony cartilaginous unit: the missing graft in septorhinoplasty

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