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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Alternative technique for tip support in secondary rhinoplasty
Alberto Echeverry1, Jenny Carvajal, Elsy Medina
1Department of Radiology, Universidad de Antioquia, Medellin, Colombia.
Aesthetic Surgery Journal
|April 3, 2009
Summary
This study presents a novel technique using ear cartilage grafts as columellar struts for secondary rhinoplasty when septal cartilage is unavailable. The method provides sufficient support for nasal tip projection, leading to high patient satisfaction.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Reconstructive Surgery
Background:
- Restoring nasal tip projection is crucial in secondary rhinoplasty.
- Columellar struts and septal cartilage grafts are standard reconstructive tools.
- Septal cartilage scarcity in revision cases necessitates alternative grafting materials.
Purpose of the Study:
- To introduce a straightforward surgical technique for reinforcing autologous ear cartilage grafts.
- To utilize these enhanced ear cartilage grafts as columellar struts in revision rhinoplasty.
Main Methods:
- A 3.5 x 1.5 cm auricular concha graft was harvested, preserving perichondrium.
- The graft was shaped into a cylinder for use as a columellar strut.
- Open rhinoplasty techniques were applied in all cases requiring revision.
Main Results:
- The technique was employed in 13 patients undergoing revision rhinoplasty between 2002 and 2006.
- Follow-up ranged from 4 to 48 months, with minor complications in five patients.
- All patients reported satisfaction with their postoperative aesthetic outcomes.
Conclusions:
- Constructed auricular cartilage struts demonstrated adequate strength for nasal tip support and projection.
- The described method yields satisfactory results, confirmed by patient and surgeon assessments.
- This technique offers a viable alternative for columellar support in secondary rhinoplasty.
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