Fascia lata graft for nasal dorsal contouring in rhinoplasty

Karaaltın, Mehmet Veli; Orhan, Kadir Serkan; Demirel, Tayfun

doi:10.1016/j.bjps.2008.03.053

Cited by 35 publications

(18 citation statements)

References 28 publications

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“…The long-term effects have been studied and shown to be reliable. 6,7 Harvesting of fascia grafts from the temporalis area is quick and the incision is typically hidden within the temporal hair (►Fig. 9).…”

Section: Techniquementioning

confidence: 99%

“…A study by Karaaltin and colleagues with postoperative follow-up of 14 to 26 months demonstrated excellent results and only 1 in 63 patients was concerned with the donor site scar. 6 After harvest, the fascia grafts are positioned through the nasal dorsal skin with draw sutures and then draped over the tip cartilage and secured with absorbable suture (►Fig. 11).…”

Section: Techniquementioning

confidence: 99%

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Nuances of the Nasal Tip: Rhinoplasty of the Thin-Skinned Nose

Farrior

Ballert²

2012

Facial plast Surg

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Rhinoplasty in the thin-skinned patient presents a unique set of challenges to achieve desired results. Preoperative recognition of thin skin is imperative to direct the operative plan and to achieve excellent results. Once identified, meticulous care must be implemented in sculpting the underlying cartilaginous framework. The skin may also benefit from techniques to thicken the skin through the use of cartilage and fascial grafts. This article will discuss recognition of the thin-skinned nose, avoiding pitfalls, techniques to optimize structural support, camouflage grafting techniques, and options available to thicken the nasal skin.

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Section: Techniquementioning

confidence: 99%

Section: Techniquementioning

confidence: 99%

Nuances of the Nasal Tip: Rhinoplasty of the Thin-Skinned Nose

Farrior

Ballert²

2012

Facial plast Surg

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“…Fascia grafts provide the thickness required for dorsal augmentation and smooth nasal dorsum contour, in contrast to the sharp edges often associated with cartilage grafts [2]. Autologous temporalis fascia, autologous fascia lata, and tutoplast-processed fascia lata (TPFL) have all been used as graft materials [1][2][3][10][11][12][13][14]. TPFL is a commercially available grafting material that avoids the drawbacks of autologous fascia grafts and that has been used successfully for dorsal augmentation.…”

Section: Introductionmentioning

confidence: 99%

“…Gore and Associates. Inc., Flagstoff, AZ), crushed cartilage with fascia lata, and Turkish delight methods are all widely used, and each approach has unique benefits and drawbacks [1][2][3]. Autologous grafts (rib grafts, temporalis fascia lata, diced septal cartilage, ear cartilage) (Tutoplast Fascia lata; RTI Biologics Tutogen, Germany) are regarded as the most suitable materials for rhinoplasty because they have a high degree of tissue tolerance and a low infection rate [4].…”

Section: Introductionmentioning

confidence: 99%

Multilayer tutoplast-processed fascia lata use in revision rhinoplasty for overresected dorsum

Altun

Hancı

Can³

2015

Eur J Plast Surg

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Background Several grafting materials have been used in revision rhinoplasty to correct overresected dorsum. Autologous materials are generally preferred, but have the drawbacks of additional surgical time and donor site morbidity. Tutoplast-processed fascia lata (TPFL) offers a commercially available alternative to autologous fascia grafts. We reviewed the results of 42 revision rhinoplasty procedures that used TPFL with or without autologous cartilage to correct overresected dorsum. Methods Forty-two patients with overresected dorsum underwent revision rhinoplasty with multilayered TPFL at our institution between 2005 and 2012. Saddle nose deformities were classified into one of three types, according to severity. Surgical results were evaluated as excellent, good, or fair by an otolaryngologist who compared preoperative photographs with pictures taken at final follow-up. Surgical complications were analyzed. Results Of the 42 patients who underwent rhinoplasty with multilayered TPFL, 36 were treated with TPFL alone, while autologous cartilage was used concurrently in six. Twenty-six (62 %) of the patients showed excellent aesthetic improvement, 11 (26 %) showed good improvement, and five (12 %) showed fair improvement. There were no major complications. Minor complications included edema in six patients, major resorption in three, and minimal resorption in nine. Patients with mild or moderate saddle nose deformity had better surgical results than those with more severe deformity. Conclusions There are many possible methods to correct overresected dorsum. Multilayer TPFL is safe alternative to autologous rib cartilage grafts. Level of Evidence: Level IV, therapeutic study.

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“…5,[9][10][11][16][17][18][19] Concerns about the visibility of the graft edges and irregularities made by graft particles require surgeons to use different materials as cover. Superficial temporalis fascia, 20 fascia lata, 21 AlloDerm (LifeCell Corp, Branchburg, NJ), 9,22 and homologous material (Tutoplast; Davol, Warwick, RRI) 23 have been reported in the literature. Despite the considerable advantages of conchal cartilage, its curved nature or concerns about its visibility beneath thin skins might make the surgeon modify the shape and texture of this graft before use.…”

mentioning

confidence: 98%