Dorsal Nasal Augmentation With Rib Cartilage Graft

Abstract

Various alloplastic and autogenous materials have been used for dorsal nasal augmentation. Bone and cartilage autografts commonly are used. We used rib cartilage graft for dorsal nasal augmentation. The aim of this study was to investigate the long-term outcomes and patient satisfaction of dorsal nasal augmentation with rib cartilage grafts. Thirty-eight patients who had been operated on for dorsal nasal augmentation with rib cartilage graft were included in this study. Operation times, postoperative complications, and revision surgery were investigated by using hospital records. Anthropometric measurements were used for determining the resorption rate of cartilage graft. A questionnaire was used for the evaluation of long-term patient satisfaction. Evaluation of the patients' records showed that average operation time was 116 minutes and there were no complications such aspleural damage. The mean follow-up period was 27.4 months. Nine patients required secondary nasal surgery, including soft tissue augmentation (n = 1), nasal tip revision (n = 3), and reshaping the cartilage graft (n = 5). Long-term anthropometric measurements, comparing preoperative and postoperative values, documented increases in both tip projection (4.2%) and nasal length (1.2%) and an increase in nasolabial angle of 8.2 degrees . Eighty-one percent of the patients who answered the questionnaire rated the nasal size as normal. Nasal symmetry and nasal shape were good in 75% and 66% of the patients, respectively. Results of the rib cartilage grafts that are used for dorsal nasal augmentation are satisfactory for the patients and resorption rates are not high enough to change the shape of the nose.

Comparison of the Surgical Outcomes of Dorsal Augmentation Using Expanded Polytetrafluoroethylene or Autologous Costal Cartilage

“…We think that any type of costal cartilage dorsal implant can result in resorption, and surgeons have to keep in mind this problem when using costal cartilage. In contrast to the current findings, Yilmaz et al 9 reported previously that the resorption rate was not high after using ACC for dorsal augmentation, and the shape of the nose had satisfactory long-term results. This discrepancy needs further clarification in future studies.…”

“…Regarding the nasal shape after dorsal augmentation using ACC, 76% of patients were reported previously as having excellent or good results. 9 Similarly, in the present study, 49 patients (71.9%) in the ACC group achieved an excellent or good result. Although, to our knowledge, the aesthetic outcomes of rhinoplasty using ePTFE have not been evaluated in previous reports, ePTFE and ACC produced similar aesthetic out- A, Excellent and poor outcomes were observed more often in the expanded polytetrafluoroethylene (ePTFE) group compared with the autologous costal cartilage (ACC) group.…”

Augmentation Rhinoplasty in Cleft Lip Nasal Deformity: Preliminary Patients’ Perspective

“…This was consistent with the study by Yilmaz et al, which showed satisfactory nasal profile using rib cartilage grafts for dorsal nasal augmentation [29]. They found that the resorption rates were not high enough to change the shape of their augmented nose at 2-year follow-up.…”

Comparison of Autologous vs Homologous Costal Cartilage Grafts in Dorsal Augmentation Rhinoplasty

“…These studies comprised 1041 patients of whom 741 received autologous grafts and 293 received IHCC grafts. Studies were published between January 1, 1990, and December 31, 2017; the mean sample size was 36 patients (range, 9-157 patients); and studies were from countries around the world, including Turkey (n = 9), the United States (n = 5), South Korea (n = 4), Italy (n = 2), India (n = 2), the United Kingdom (n = 1), Germany (n = 1), the Netherlands (n = 1), Egypt (n = 1), South Africa (n = 1), and Saudi Arabia (n = 1) . Mean follow-up time ranged from 6 to 48 months in the studies that reported follow-up, although 8 studies did not.…”