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Autologous Diced Cartilage in Nasal Septoplasty
Sameh Ibrahim Sersar1, Ibrahim Yassin2, Mohammed Saad Eldin Aly3
1Mansoura University, Cardiothoracic Surgery Department, 35516, Mansoura, Egypt;; KAMC, Makkah, Saudi Arabia.
World Journal of Plastic Surgery
|November 18, 2016
Summary
Diced rib cartilage is effective for severe nasal deformities in septoplasty. Wrapping cartilage with rectus fascia yielded optimal aesthetic and functional outcomes in this study.
Area of Science:
- Plastic Surgery
- Otolaryngology
Background:
- Severe nasal deformities often require complex reconstructive techniques.
- Autologous diced costal cartilage is a viable grafting material for nasal septoplasty.
Observation:
- This retrospective study analyzed 22 patients undergoing nasal septoplasty with autologous diced rib cartilage over four years.
- Graft materials included temporalis fascia (12 cases), rectus fascia (8 cases), and perichondrium (2 cases).
Findings:
- The rectus fascia group showed a significant decrease in the naso-frontal angle (mean 4.41°, p=0.008).
- Patient satisfaction was high, with only 3 (13.6%) aesthetic dissatisfaction and 1 (4.5%) functional breathing dissatisfaction, primarily in the temporalis fascia group.
- Autologous rib cartilage demonstrated good graft performance, particularly when combined with rectus fascia.
Implications:
- Diced rib cartilage is a suitable option for correcting severe nasal deformities during septoplasty.
- Rectus fascia wrapping appears to enhance aesthetic and functional results compared to temporalis fascia or perichondrium.
