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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.
The Journal of Craniofacial Surgery
|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.
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.
