Dorsal Augmentation Using Crushed Autologous Costal Cartilage in Rhinoplasty.
Rhinoplasty
costal cartilage
crushed cartilage
dorsal augmentation
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
revised:
24
11
2020
received:
16
03
2020
accepted:
03
01
2021
pubmed:
15
1
2021
medline:
29
6
2021
entrez:
14
1
2021
Statut:
ppublish
Résumé
For dorsal augmentation in rhinoplasty, autologous costal cartilage can be used in many different forms, including its crushed form. While only few studies have reported the outcome of dorsal augmentation using the crushed autologous costal cartilage, the current study aims to evaluate the outcome of such usage. Retrospective chart review. The records of 38 patients were reviewed retrospectively. The study period was from 2006 to 2016. All enrolled patients underwent rhinoplasty that includes dorsal augmentation using crushed autologous costal cartilage. Three facial plastic surgeons evaluated the outcome using pre- and postoperative facial photographs. Patients' satisfaction was also analyzed. Anthropometric measurement was performed, and postoperative complications were investigated. Our cohort included 19 primary and 19 revision cases. The mean age of the patients was 31.0 years. Mean postoperative follow-up period was 36.1 months. According to facial plastic surgeons' evaluation, excellent, good, fair, poor aesthetic outcomes were achieved in 15 (39.5%), 18 (47.4%), 5 (13.1%), 0 (0.0%) cases, respectively. Patients were very satisfied, satisfied, moderate, dissatisfied in 16 (42.1%), 15 (39.5%), 6 (15.8%), 1 (2.6%) cases, respectively. Heights of the dorsum and radix were significantly increased after surgery (for each, p < 0.05). There were 11 cases (28.9%) of complications on the dorsum, four surface irregularity, five resorptions, and two cases of short nose deformity. One can augment the nasal dorsum significantly with crushed autologous costal cartilage. But considering high rate of recipient site complications, this method may better be used as an alternative technique when surgical situations are indicated. 4 Laryngoscope, 131:E2181-E2187, 2021.
Types de publication
Evaluation Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E2181-E2187Informations de copyright
© 2021 The American Laryngological, Rhinological and Otological Society, Inc.
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