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Postauricular fascia in augmentation rhinoplasty
1Guerra Plastic Surgery Center, 8765 E. Bell Rd., Ste. 104, Scottsdale, AZ 85260, USA. drguerra@gmail.com.
Ear, Nose, & Throat Journal
|June 17, 2014
Summary
Postauricular fascia is a reliable, long-lasting graft for nasal augmentation in rhinoplasty. This technique effectively addresses radix deficiency and camouflages dorsal and sidewall deformities.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Reconstructive Surgery
Background:
- Radix deficiency is a common issue in rhinoplasty, often resulting from aggressive hump removal.
- Current rhinoplasty trends emphasize avoiding over-reduction of the nasal skeleton for balanced results.
Purpose of the Study:
- To evaluate the efficacy of postauricular fascia as a graft material for nasal radix and dorsum augmentation.
- To assess the reliability and longevity of postauricular fascia grafts in rhinoplasty.
Main Methods:
- Retrospective analysis of ten rhinoplasty operations utilizing postauricular fascia for augmentation.
- Grafts were harvested from the postauricular area via a single sulcus incision, allowing concurrent cartilage graft harvesting.
- Average patient follow-up was 24 months.
Main Results:
- Postauricular fascia proved to be a simple, reliable, and long-lasting graft material.
- The technique was effective in augmenting the nasal radix and dorsum.
- Fascia grafts successfully camouflaged various nasal deformities of the dorsum and sidewalls.
Conclusions:
- Postauricular fascia is a valuable and versatile graft material for rhinoplasty.
- It offers a straightforward and effective solution for radix deficiency and other nasal contour irregularities.
