Total Lower Lateral Cartilage Reconstruction in Multiple Revision Rhinoplasty Patients.

Autor: Balikci H; Meltem Gökay Plaza, Atatürk Blv. No:23/41, 07070, Konyaaltı, Antalya, Turkey., Yenigun A; Faculty of Medicine, Department of Otorhinolaryngology, Bezmialem Vakif University, Adnan Menderes Bulvari, 34093, Fatih, Istanbul, Turkey. alperyenigun@gmail.com., Dogan R; Faculty of Medicine, Department of Otorhinolaryngology, Bezmialem Vakif University, Adnan Menderes Bulvari, 34093, Fatih, Istanbul, Turkey., Tugrul S; Faculty of Medicine, Department of Otorhinolaryngology, Bezmialem Vakif University, Adnan Menderes Bulvari, 34093, Fatih, Istanbul, Turkey., Aksoy F; Faculty of Medicine, Department of Otorhinolaryngology, Bezmialem Vakif University, Adnan Menderes Bulvari, 34093, Fatih, Istanbul, Turkey., Ozturan O; Faculty of Medicine, Department of Otorhinolaryngology, Bezmialem Vakif University, Adnan Menderes Bulvari, 34093, Fatih, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: Aesthetic plastic surgery [Aesthetic Plast Surg] 2024 Nov; Vol. 48 (22), pp. 4639-4641. Date of Electronic Publication: 2024 May 01.
DOI: 10.1007/s00266-024-04087-x
Abstrakt: Objective: The aim of this study is to demonstrate a novel surgical technique of total lower lateral cartilage reconstruction using costal cartilage grafts in multiple revision rhinoplasty cases.
Method: Total lower lateral cartilage reconstruction technique was utilized in 24 patients who underwent open technique septorhinoplasty between 2019 and 2023. Fourteen of the patients were female, and 10 were male. In this technique, we performed total lower lateral cartilage reconstruction in multiple revision cases where the support of both medial and lateral crura was poor. In cases where only the medial crus or only the lateral crus support was inadequate, we performed reconstruction only for the poorly supported portion. A new lower lateral cartilage was created with grafts obtained from the costal cartilage.
Results: The mean age of the patients was 23. The mean follow-up time of the patients was between 6 and 18 months. No complications were observed due to this technique. Satisfactory results were obtained in the postoperative period after surgery.
Conclusion: Multiple revision rhinoplasties present significant difficulties due to complicated nasal anatomy and weakened lower lateral cartilages. We have shown that successful results can be achieved in these complex cases with total lower lateral cartilage reconstruction using costal cartilage grafts.
Level of Evidence Iv: 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.
Competing Interests: Declarations. Conflict of interest: None. Ethical Approval: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed Consent: For this type of study, informed consent is not required.
(© 2024. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.)
Databáze: MEDLINE
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