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Published on: June 20, 2018
Sandwich technique in nasal dorsal augmentation
Wolfgang Issing1, Shahram Anari
1Department of Otolaryngology/Head and Neck Surgery, Freeman Hospital, High Heaton, Newcastle upon Tyne, NE7 7DN, UK.
Summary
A novel "sandwich" technique simplifies using Tutoplast fascia lata (TFL) grafts for nasal dorsal augmentation in closed rhinoplasty. This method enhances graft insertion and manipulation, leading to good aesthetic outcomes in secondary rhinoplasty cases.
Area of Science:
- Plastic Surgery
- Biomaterials in Surgery
Background:
- Tutoplast fascia lata (TFL) is a common onlay graft for nasal dorsal augmentation in open rhinoplasty.
- Graft insertion using TFL in closed rhinoplasty presents significant technical challenges.
Purpose of the Study:
- To introduce and evaluate a novel "sandwich" technique for facilitating Tutoplast fascia lata graft insertion in closed approach rhinoplasty.
- To assess the ease of graft manipulation and aesthetic outcomes of this technique in secondary rhinoplasty.
Main Methods:
- A "sandwich" technique was developed, involving securing autologous grafts (cartilage or ethmoid bone) between layers of TFL prior to insertion.
- Eight cases of secondary rhinoplasty utilizing this technique for nasal dorsal augmentation via a closed approach were reviewed over a two-year period.
Main Results:
- The sandwich technique demonstrated ease of graft insertion and subsequent manipulation in all reviewed cases.
- Good aesthetic results were consistently observed following an average follow-up period of 14 months.
Conclusions:
- The "sandwich" technique effectively overcomes the challenges of TFL graft insertion in closed approach secondary rhinoplasty.
- This method provides a reliable approach for nasal dorsal augmentation, ensuring ease of use and favorable aesthetic results.
