Comparison of Autogenous Cartilage, Acellular Dermis, and Solvent-Dehydrated Pericardium for the Prevention and Correction of Dorsal Nasal Irregularities: An Experimental Study

Çöloğlu, Harun; Uysal, Ahmet Çağrı; Tiftikçioğlu, Yiğit Özer; Oruç, Melike; Koçer, Uğur; Coşkun, Erhan; Ramadan, Selma Uysal; Astarci, Müzeyyen

doi:10.1007/s00266-011-9865-y

Cited by 19 publications

(11 citation statements)

References 49 publications

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“…Postrhinoplasty dorsal irregularity that needs revision surgery occurs in 7–10% of patients. The most common risk factor for dorsal irregularities is thin skin [1].…”

Section: Introductionmentioning

confidence: 99%

Tubed Temporalis Fascia for Nasal Dorsal Contouring: A Novel Technique

Hudise

Aldhabaan

Alqabbani

et al. 2021

ORL

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Introduction: Nasal dorsum irregularities may occur after nasal trauma or as a postrhinoplasty complication. Here, we present a novel technique using temporalis fascia (TF) grafting for primary and revision rhinoplasty to repair the nasal dorsum, hide nasal irregularities, and improve nasal contouring. Methods: This prospective cohort study was conducted from January 2019 to June 2019 and evaluated nasal dorsal contouring using the TF in a tubed form. The outcome variables were patient satisfaction, dorsal irregularity, and contour definition. The predictor variable was the use of tubed TF for dorsal augmentation. Other associated variables were age, sex, indication for surgery, surgery type, and graft size. Patient satisfaction was evaluated using the Rhinoplasty Outcome Evaluation questionnaire. A rhinoplasty specialist other than the surgeon who performed the procedure evaluated the dorsal augmentation outcomes by inspection and palpation of the dorsum. All statistical analyses were performed using the SPSS software. Results: Seventy-four patients (21.6% men and 78.4% women) were treated with the tubed TF. The mean age was 28.97 years. Thin skin was the most common indication (48.6%) for using TF. The graft size was 2–5 cm; inspection and palpation revealed no irregularities. No reception site complications occurred. One patient had a mild hematoma at the donor site. The mean patient satisfaction score was 10.14 preoperatively and 19.95 postoperatively (p = 0.001). Discussion/Conclusions: Our novel technique of using the TF graft in a tubed form was easy to perform. Furthermore, the tubed TF covers all irregularities, is good for dorsal augmentation, and improves dorsal contouring and definition.

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“…Postrhinoplasty dorsal irregularity that needs revision surgery occurs in 7–10% of patients. The most common risk factor for dorsal irregularities is thin skin [1].…”

Section: Introductionmentioning

confidence: 99%

Tubed Temporalis Fascia for Nasal Dorsal Contouring: A Novel Technique

Hudise

Aldhabaan

Alqabbani

et al. 2021

ORL

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“…9 Ceramics seem to be interesting for ENS treatment because of their slow resorption as compared with other implanted materials. 7,19-21…”

Section: Discussionmentioning

confidence: 99%

ß‐Tricalcium Phosphate Implants in the Surgical Treatment of Empty Nose Syndrome

Bastier

Fierens

Champel

et al. 2016

Otolaryngol.--head neck surg.

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The objective of this study was to assess the efficacy and morbidity of a β-tricalcium phosphate implant in the treatment of empty nose syndrome after turbinectomy. Only patients with a history of inferior turbinectomy and a complaint of permanent paradoxical nasal obstruction were included. β-Tricalcium phosphate ceramic implants were implanted under the mucoperiosteal plane of the lateral nasal wall to replace the head of the inferior turbinate. Symptoms and quality of life were assessed by 2 questionnaires: the Nasal Obstruction Symptom Evaluation and Rhinosinusitis Quality of Life. Fourteen patients were included. The mean follow-up was 19.4 ± 13.4 months. Scores for the Nasal Obstruction Symptom Evaluation and Rhinosinusitis Quality of Life (frequency, bothersomeness, and impact) significantly improved after surgery (respectively, 73.9 ± 21.8 to 34.6 ± 28.6, 44.6 ± 17.1 to 34.8 ± 20.3, 43.6 ± 22.4 to 70.7 ± 21.5, and 59.9 ± 21.1 to 27.2 ± 25.3; P < .05). The use of ß-tricalcium phosphate seems efficient to repair empty nose syndrome by endonasal microplasty and shows a low complication rate.

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“…This area is a transitional zone where the thinner skin of the bony dorsum meets the thicker skin of the supratip area. 4 The retraction of unsup-ported skin in this area has been postulated as a factor to induce a depression in the rhinion. 9 However, this is the place where the bony dorsum integrates with the cartilaginous dorsal septum and upper lateral cartilages.…”

Section: Discussionmentioning

confidence: 99%

“…A variety of autologous or synthetic materials have been used to camouflage such dorsal irregularities. 4 However, prevention is preferable to correction, and this objective usually focuses on preventing irregularities following hump resection in the keystone area in primary septorhinoplasty. One option is the use of onlay grafts to camouflage irregularities that may become apparent later during the healing process.…”

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confidence: 99%

Newly Designed Upper Lateral Cartilage Flap for Preventing Depression of the Keystone Area in Large-Nose Septorhinoplasty

Sharafi

Jalessi

Adamson

2015

JAMA Facial Plast Surg

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IMPORTANCE Because large dorsal reduction may weaken the keystone area, later notching of this area should be prevented while reducing large humps during septorhinoplasty. OBJECTIVE To determine whether a triangular-shaped flap of upper lateral cartilages (ULCs) that we designed can prevent secondary deformity of the nasal dorsum in the keystone area following large hump reduction. DESIGN, SETTING, AND PARTICIPANTS In this retrospective study, medical records as well as preoperative and postoperative photographs of septorhinoplasty cases in which triangular flaps had been used between April 1, 2012, and March 3, 2013, were reviewed. Data analysis was conducted from March 3 to May 10, 2014. Demographic data, amount of hump reduction, and any irregularity of the dorsum in the keystone area mentioned in the medical record or identified in postoperative profile view photographs were assessed. The study was conducted in a research center, and the operations were performed in a private setting. Patients had been scheduled for septorhinoplasty with flap reconstruction if more than 3 mm of dorsal hump reduction was planned and their skin was not thin. Of 41 identified patients, 3 could not be monitored for 1 year; 38 patients were included in the analysis. EXPOSURES Open septorhinoplasty had been performed, and more than 3 mm of dorsum had been removed in all patients whose data were analyzed. During stepwise resection of the nasal dorsum, a triangular-shaped remnant of the most cephalomedial part of the ULC was maintained intact on each side over the keystone area. MAIN OUTCOMES AND MEASURES Irregularity of the nasal dorsum over the keystone area in postoperative profile view photographs. RESULTS More than 3 mm of hump reduction had been made in all 38 patients. No irregularities were observed in the postoperative photographs or had been found on digital examination of the keystone area after at least 12 months of follow-up. CONCLUSION AND RELEVANCE Maintaining a remnant of the ULC over the keystone area in the form of a triangular-shaped flap on each side is a simple, reliable, and durable way to prevent notching of the keystone area during lowering of the nasal dorsum in large noses with sufficient skin thickness. LEVEL OF EVIDENCE 4.

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Comparison of Autogenous Cartilage, Acellular Dermis, and Solvent-Dehydrated Pericardium for the Prevention and Correction of Dorsal Nasal Irregularities: An Experimental Study

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266.

Cited by 19 publications

References 49 publications

Tubed Temporalis Fascia for Nasal Dorsal Contouring: A Novel Technique

Tubed Temporalis Fascia for Nasal Dorsal Contouring: A Novel Technique

ß‐Tricalcium Phosphate Implants in the Surgical Treatment of Empty Nose Syndrome

Newly Designed Upper Lateral Cartilage Flap for Preventing Depression of the Keystone Area in Large-Nose Septorhinoplasty

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