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Epistaxis

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Nasal Dorsum Management Using Fragmented Cartilage Grafts.

Bilge Turk Bilen¹, Goktekin Tenekeci

¹*Department of Plastic, Reconstructive and Aesthetic Surgery, Turgut Ozal Medical Center, Inonu University, Malatya †Department of Plastic, Reconstructive and Aesthetic Surgery, School of Medicine, Mersin University Hospital, Mersin, Turkey.

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|July 21, 2016

Summary

Fragmented cartilage grafts offer a durable solution for managing nasal dorsum irregularities in rhinoplasty. This technique avoids wrapping grafts, promoting vascularization and leading to smooth, satisfactory aesthetic outcomes.

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Area of Science:

Plastic Surgery
Otolaryngology
Regenerative Medicine

Background:

Nasal dorsum irregularities can be visually prominent due to thin overlying skin and subcutaneous tissue.
Traditional rhinoplasty techniques may face challenges in achieving smooth nasal dorsum contours.

Observation:

A study evaluated 182 patients undergoing rhinoplasty using fragmented cartilage grafts for nasal dorsum management.
Cartilage was fragmented using a Kocher clamp and placed directly onto the nasal dorsum, shaped externally.
The follow-up period ranged from 6 to 36 months.

Findings:

No seroma, infection, or abscess complications were observed.
Only four patients required secondary surgery for irregularity correction via rasping.
The majority of patients reported satisfaction with their nasal dorsum appearance.

Implications:

Directly applying fragmented cartilage grafts enhances vascularization, leading to durable results in nasal dorsum reconstruction.
This method provides a reliable approach for achieving smooth nasal aesthetics and patient satisfaction in rhinoplasty.
The technique minimizes complications and the need for revision surgeries.