Grafting in revision rhinoplasty

Area of Science:

• Plastic Surgery
• Otolaryngology

Background:

• Revision rhinoplasty presents significant challenges due to scarring and altered anatomy from prior surgery.
• High revision rates underscore the complexity of primary rhinoplasty and the need for specialized techniques in secondary cases.

Purpose of the Study:

• To outline the considerations and surgical approaches for revision rhinoplasty.
• To discuss the role and types of grafting materials in restoring nasal form and function.

Main Methods:

• Emphasizes a thorough internal and external nasal examination to assess patient concerns and surgical possibilities.
• Advocates for an open surgical approach in the majority of complex secondary rhinoplasty cases.
• Details the use of autogenous cartilage (septum, auricular concha, rib) and temporalis fascia grafts.

Main Results:

• The open approach facilitates dissection and landmark identification in scarred nasal structures.
• Grafting is crucial for restoring structural support and replacing soft tissue volume.
• Autogenous cartilage and temporalis fascia are presented as effective grafting materials for various nasal reconstructions.

Conclusions:

• Revision rhinoplasty demands meticulous planning and often requires advanced techniques like the open approach and grafting.
• Appropriate selection and utilization of grafting materials are key to successful outcomes in secondary rhinoplasty.
• These techniques aid in correcting aesthetic deformities and functional impairments of the nose.