Cartilage Grafting in Nasal Reconstruction

Immerman, Sara; White, W. Matthew; Constantinides, Minas

doi:10.1016/j.fsc.2010.10.006

Cited by 23 publications

(28 citation statements)

References 26 publications

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“…Restoration of the nasal support is crucial for excellent aesthetic and functional results. Autogenous materials such as septal, auricular, and costal cartilage are the most widely used constituents for this purpose, either with free or compound grafts, or as part of chondromucosal septal flaps, each with its advantages and disadvantages 7,8 .…”

Section: Discussionmentioning

confidence: 99%

Reconstrução nasal complexa: opções cirúrgicas numa série de casos

Quintas¹,

Araujo²,

Medeiros³

et al. 2013

Rev. Bras. Cir. Plást.

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Section: Discussionmentioning

confidence: 99%

Reconstrução nasal complexa: opções cirúrgicas numa série de casos

Quintas¹,

Araujo²,

Medeiros³

et al. 2013

Rev. Bras. Cir. Plást.

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“…Autologous grafts satisfy many of the requirements for ideal implants since they do not transmit disease, are not subject to biocompatibility issues or rejection, and confer very low rates of infection, inflammation, resorption, and extrusion. 1,[8][9][10][11][12][13] Additionally, autologous grafts are easily manipulated and have inherent stability and biomechanical characteristics similar to the native nasal framework. 1 They can provide structure and support to a variety of nasal structures and be prepared in a variety of ways (layered, crushed, diced, etc.)…”

Section: Modern Techniques Autologous Graftsmentioning

confidence: 99%

Surgical Nasal Implants: Indications and Risks

Genther

Papel

2016

Facial plast Surg

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Rhinoplasty often requires the use of grafting material, and the goal of the specific graft dictates the ideal characteristics of the material to be used. An ideal material would be biologically inert, resistant to infection, noncarcinogenic, nondegradable, widely available, cost-effective, readily modifiable, and easily removable, have compatible biomechanical characteristics, retain physical properties over time, and not migrate. Unfortunately, no material currently in existence meets all of these criteria. In modern rhinoplasty, autologous grafts are the gold standard against which all other nasal implants are measured and offer the safest long-term results for most patients. They are easily manipulated, have inherent stability and biomechanical characteristics similar to the native nasal framework, and confer minimal risk of complications. Modern homologous and alloplastic materials have gained considerable support in recent years because they are readily available in endless quantity, do not require a second surgical site for harvest, and are generally considered safe if most circumstances, but they confer additional risk and have biomechanical characteristics different from that of the native nasal framework. To address some of these issues, we provide a contemporary review of autologous, homologous, and alloplastic materials commonly used in rhinoplasty surgery.

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“…Autogenous cartilage when available is preferred given its longer-term survival, lack of immune response, minimal warping potential, flexibility within the nose and ease of harvest in the head and neck. Cartilaginous nasal septum is the natural choice for autogenous cartilage grafts, as it is readily accessible during nasal surgery and is relatively stiff, permitting more extensive and precise sculpting to attain a desired result [7].…”

Section: Introductionmentioning

confidence: 99%

Effects of Different Cartilage Sculpting Techniques on Cellular Integrity of Nasal Septal Cartilage

Sudeep¹,

Madalina²

2016

J Cytol Histol

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Study background: Several techniques exist to sculpt nasal septal cartilage grafts for use in functional and cosmetic rhinoplasty, including the use of cold steel, Bovie electrosection and the Sonopet ultrasonic bone aspirator. This is the first investigation on the effects of these disparate tools on gross cellular integrity of sculpted cartilage. Methods:After IRB approval, extraneous nasal septal cartilage harvested during routine septoplasty and/or rhinoplasty procedures was collected from three patients treated within our institution for use in this study. Cartilage specimens from each patient were divided into four equal segments and a partial thickness trough was sculpted in the center of each piece with one of the three techniques described above. One segment remained free of any additional manipulation and served as a comparative control. Gross cellular architecture and number of viable chondrocytes were assessed with optical microscopy.Results: Minimal disruption of the cellular integrity of nasal septal cartilage samples sculpted with each of the three techniques was noted compared to control. Average cell counts revealed 96%, 97%, 97% and 97% viable nuclei in the scalpel, electrocautery, ultrasonic bone aspirator and control groups, respectively. Conclusion:Cartilage sculpting using cold steel, Bovie electrosection and the ultrasonic bone aspirator appear to have minimal effects on cellular integrity of cartilage grafts. This portends a favorable outlook on long term durability of these cartilage grafts and suggests that these three techniques can be used interchangeably for cartilage sculpting needs.

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Cartilage Grafting in Nasal Reconstruction

Cited by 23 publications

References 26 publications

Reconstrução nasal complexa: opções cirúrgicas numa série de casos

Reconstrução nasal complexa: opções cirúrgicas numa série de casos

Surgical Nasal Implants: Indications and Risks

Effects of Different Cartilage Sculpting Techniques on Cellular Integrity of Nasal Septal Cartilage

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