The bony cartilaginous unit: the missing graft in septorhinoplasty

Sazgar, Amir Arvin

doi:10.1016/j.ijom.2016.05.009

Cited by 13 publications

(6 citation statements)

References 11 publications

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“…19 The greatest advantages of this composite graft are the ability to provide the rigidity and firmness of bone and the ease of use of cartilage simultaneously. 20 SEG may cause postoperative rigidity of the nasal tip, but does provide sufficient quantity, length, or firmness of nasal tip support for counteracting the compressive force of the nasal skin envelope. In the present work, the cartilaginous part of BCG was placed between the medial crura of the LLCs in tongue-in-groove technique and the bony part was used as an internal splint to straighten of L-strut.…”

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%

“…To obtain an optimal outcome, SEG is the best graft caudally 19. The greatest advantages of this composite graft are the ability to provide the rigidity and firmness of bone and the ease of use of cartilage simultaneously 20. SEG may cause postoperative rigidity of the nasal tip, but does provide sufficient quantity, length, or firmness of nasal tip support for counteracting the compressive force of the nasal skin envelope.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Bony Cartilaginous Graft in Unilateral Cleft Lip Rhinoplasty

Nguyen

Tran

et al. 2022

Journal of Craniofacial Surgery

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“…However, the above-mentioned technique was already published in August 2016 by the senior author (AAS) ''The bony cartilaginous unit: the missing graft in septorhinoplasty'' [2]. In his article, he explained the very same technique to harvest the cartilaginous septum and posterior bony part as an integrated unit to compensate for the limited amount of cartilage available.…”

Section: Introductionmentioning

confidence: 99%