Rhinoplasty with Mortise-Tenon Cartilaginous Framework for Caudal Septal Cartilage Defects.

Autologous costal cartilage Rhinoplasty Septal cartilage defect

Journal

Aesthetic plastic surgery
ISSN: 1432-5241
Titre abrégé: Aesthetic Plast Surg
Pays: United States
ID NLM: 7701756

Informations de publication

Date de publication:
09 Nov 2023
Historique:
received: 23 08 2023
accepted: 17 10 2023
medline: 10 11 2023
pubmed: 10 11 2023
entrez: 9 11 2023
Statut: aheadofprint

Résumé

Rhinoplasty for caudal septal cartilage defects is a challenge due to the difficulty of fixation of the grafts. This study presents an approach for correcting defects in caudal septal cartilage with the costal cartilaginous framework using a mortise-tenon technique. From May 2019 through May 2022, a retrospective analysis of patients with caudal septal cartilage defects underwent rhinoplasty using a mortise-tenon cartilaginous framework by a senior surgeon was performed. The surgical outcomes were evaluated both preoperatively and postoperatively. This study involved 17 patients, ranging in age from 27 to 58 years. There were 22.4 months of follow-up on average. There was no long-term or short-term complication observed. The aesthetic outcome of all cases was satisfactory. The mean score for the patients of the perceptions of improvement in their noses was 8.11. Correction of caudal septal cartilage defects with this costal cartilaginous framework using the mortise-tenon technique is feasible and effective. 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 www.springer.com/00266 .

Identifiants

pubmed: 37945758
doi: 10.1007/s00266-023-03733-0
pii: 10.1007/s00266-023-03733-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Chinese Academy of Medical Science Innovation Fund for Medical Sciences
ID : 2021-I2M-1-052

Informations de copyright

© 2023. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.

Références

RK Daniel 2007 Rhinoplasty: septal saddle nose deformity and composite reconstruction Plast Reconstr Surg 119 3 1029 1043 https://doi.org/10.1097/01.prs.0000252503.30804.5e
doi: 10.1097/01.prs.0000252503.30804.5e pubmed: 17312511
SE Metzinger RG Boyce PL Rigby 1994 Ethmoid bone sandwich grafting for caudal septal defects Arch Otolaryngol Head Neck Surg 120 10 1121 1125 https://doi.org/10.1001/archotol.1994.01880340061010
doi: 10.1001/archotol.1994.01880340061010 pubmed: 7917194
P Min Z Wang Z Zhang 2021 Septal reconstruction with folded porous polythylene implants: an alternative technique for the correction of severe saddle nose deformities in Asian populations J Craniofac Surg 32 4 1325 1330 https://doi.org/10.1097/SCS.0000000000007260
doi: 10.1097/SCS.0000000000007260 pubmed: 33235167
YY Chen YJ Jang 2018 Refinements in saddle nose reconstruction Facial Plast Surg 34 4 363 372 https://doi.org/10.1055/s-0038-1660824
doi: 10.1055/s-0038-1660824 pubmed: 30041268
TZ Shipchandler BJ Chung DS Alam 2008 Saddle nose deformity reconstruction with a split calvarial bone L-shaped strut Arch Facial Plast Surg 10 5 305 311 https://doi.org/10.1001/archfaci.10.5.305
doi: 10.1001/archfaci.10.5.305 pubmed: 18794407
Z Song Y Xu X Zhang 2023 Application of a modified costal cartilaginous framework in correction of severe saddle nose deformity Aesthet Surg J 43 8 830 839 https://doi.org/10.1093/asj/sjad047
doi: 10.1093/asj/sjad047 pubmed: 36866401
Z Tan W Sun W Yang 2020 Y-shaped en-bloc mortise-tenon rhinoplasty technique Aesthet Surg J 40 1 NP8 NP20 https://doi.org/10.1093/asj/sjz120
doi: 10.1093/asj/sjz120 pubmed: 31044251
L Wu H Wang L Tian 2022 The plug-in graft, the essential supplement for a stable cartilaginous framework in rhinoplasty Aesthet Surg J 42 8 862 870 https://doi.org/10.1093/asj/sjac009
doi: 10.1093/asj/sjac009 pubmed: 35078208
RY Ha HS Byrd 2003 Septal extension grafts revisited: 6-year experience in controlling nasal tip projection and shape Plast Reconstr Surg 112 7 1929 1935 https://doi.org/10.1097/01.PRS.0000091424.69765.0C
doi: 10.1097/01.PRS.0000091424.69765.0C pubmed: 14663242
Y Xu X Zhang J You 2023 Analysis of the cause of cartilage warping in the rhinoplasty of costal cartilage and application of embed-in graft in revisional surgery Aesthet Surg J 43 6 646 654 https://doi.org/10.1093/asj/sjad011
doi: 10.1093/asj/sjad011 pubmed: 36656674
L Tian J You Y Xu 2022 Modification of nasal dorsal onlay graft based on anatomic findings of rhinion area Aesthet Plast Surg 46 2 843 849 https://doi.org/10.1007/s00266-021-02672-y
doi: 10.1007/s00266-021-02672-y
R Zheng X Wang H Wang 2023 Improvement of nasal dorsal onlay graft appearance after augmentation rhinoplasty with costal cartilage for thin-skinned patients Aesthet Plast Surg 47 1 330 335 https://doi.org/10.1007/s00266-022-03082-4
doi: 10.1007/s00266-022-03082-4
FG Fedok 2016 Costal cartilage grafts in rhinoplasty Clin Plast Surg 43 1 201 212 https://doi.org/10.1016/j.cps.2015.08.002
doi: 10.1016/j.cps.2015.08.002 pubmed: 26616708
HJ Lee S Bukhari YJ Jang 2021 Dorsal augmentation using crushed autologous costal cartilage in rhinoplasty Laryngoscope 131 7 E2181 E2187 https://doi.org/10.1002/lary.29398
doi: 10.1002/lary.29398 pubmed: 33443780
Z Zhang Z Yu B Song 2022 Septal extension graft for correcting short nose in East Asians: review of autologous cartilage grafts and postoperative stability Br J Oral Maxillofac Surg 60 9 1159 1165 https://doi.org/10.1016/j.bjoms.2022.06.004
doi: 10.1016/j.bjoms.2022.06.004 pubmed: 35821177

Auteurs

Xulong Zhang (X)

The Department of Rhinoplasty, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Zhen Song (Z)

The Department of Rhinoplasty, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Yihao Xu (Y)

The Department of Rhinoplasty, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Ruobing Zheng (R)

The Department of Rhinoplasty, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Le Tian (L)

The Department of Rhinoplasty, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Junsheng Guo (J)

The Department of Rhinoplasty, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Huan Wang (H)

The Department of Rhinoplasty, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Jianjun You (J)

The Department of Rhinoplasty, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Fei Fan (F)

The Department of Rhinoplasty, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China. fanfei@psh.pumc.edu.cn.

Classifications MeSH