Use of Bone-Cartilaginous Unit in Revision Rhinoplasty.

Use of Bone-Cartilaginous Unit in Revision Rhinoplasty.

Aesthet Surg J. 2018 Dec 04;:

Authors: Sazgar AA, Teymoori Y, Sazgar AK

Abstract
Background: In revision rhinoplasty, insufficient septal cartilage is a common finding. In these cases, harvesting of costal cartilage or conchal cartilage is needed which is time consuming and has morbidity. Use of the septal bone/cartilage composite graft or bony-cartilaginous unit as a graft in rhinoplasty is a new technique.
Objectives: The aim of this research was to evaluate subjective and objective effects of using this graft in revision rhinoplasty.
Methods: In this clinical trial study, we examined 40 patients lacking sufficient septal cartilage for grafting who referred to a tertiary center and a private setting from January 2016 to March 2017 for revision septorhinoplasty. The patients had complaints of nasal deformity and nasal obstruction. Surgical outcome was assessed using anthropometric measurements and the width of the middle nasal third of the patients' photographs and two patient questionnaires: Nasal Obstruction and Septoplasty Effectiveness (NOSE) and Rhinoplasty Outcome Evaluation (ROE).
Results: Nasolabial angles and the middle nasal third improved significantly after surgery (p<0.005). On the NOSE questionnaire, 85% of patients had no or mild nasal obstruction and on the ROE questionnaire 62.5% were completely or very satisfied about nose appearance.
Conclusion: The bony-cartilaginous unit is an effective graft in revision rhinoplasty. This graft can be used in place of the rib graft. Harvesting of this graft has no morbidity in skilled hands and is not time consuming.

PMID: 30517591 [PubMed - as supplied by publisher]

from PubMed via alexandrossfakianakis on Inoreader https://ift.tt/2EeVFpp