Evidence-Based Efficacy of Autologous Grated Cartilage in Primary and Secondary Rhinoplasty.
| Autor: | Manafi A; Department of Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran., Kaviani A; Department of Plastic Surgery, Shiraz University of Medical Sciences, Tehran, Iran., Hamedi ZS; Department of Plastic Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Rajabiani A; Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran., Manafi N; Department of Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran. |
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| Jazyk: | angličtina |
| Zdroj: | World journal of plastic surgery [World J Plast Surg] 2017 May; Vol. 6 (2), pp. 137-143. |
| Abstrakt: | Background: There are numerous methods to mold and shape cartilage grafts for use in rhinoplasty. Each technique has advantages and disadvantages. We are going to introduce a new method for cartilage shaping with long lasting effects confirmed by follow up examination and pathologic evaluation. Methods: Grated cartilage was used in 483 patients. For 89 cases, it was wrapped in fascia and in 394 patients, used as a filler per se or in contiguity with solid structural grafts. In 51 patients, the operation was primary rhinoplasty and 432 cases, underwent secondary rhinoplasty. Postoperatively, there was a mean follow up of 2.8 years. Graft viability, and capability to maintain almost original volume, and general durability were assessed. Results: Out of 483 patients, only 23 cases (4.7%) needed later correction. In 11 cases (2%), it was due to overcorrection and some minor imperfections. In the rest 12 cases (2%), there was a need for more augmentation probably due to some degree of graft resorption. Three cases of these 12 patients, were corrected by outpatient shaved cartilage injection. Conclusion: According to the very low revision rate (less than 5%), we strongly recommend our grated cartilage graft for use in primary and secondary rhinoplasty. Our study showed that patient and surgeon`s satisfaction can be achieved with a high degree of confidence. |
| Databáze: | MEDLINE |
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