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Related Experiment Videos

Dorsal Augmentation with Homologous Rib.

Russell W H Kridel1, Angela K Sturm1

  • 1Facial Plastic Surgery Associates,6655 Travis Street, Suite 900, Houston, Texas.

Facial Plastic Surgery : FPS
|April 8, 2017
PubMed
Summary

Irradiated costal cartilage grafts offer a safe and effective alternative for nasal dorsal augmentation when autologous cartilage is insufficient. This tissue bank option avoids donor site morbidity and yields favorable long-term results with low complication rates.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Biomaterials Science

Background:

  • Dorsal augmentation is crucial for nasal reconstruction in cases of trauma, infection, or congenital deformities.
  • Autologous septal cartilage is often insufficient for significant augmentation and unavailable after prior surgeries.
  • Ear cartilage presents challenges with homogeneity and long-term smoothness.

Purpose of the Study:

  • To evaluate the efficacy and safety of irradiated homograft costal cartilage for nasal dorsal augmentation.
  • To present an alternative to autologous rib cartilage harvesting.

Main Methods:

  • Utilized irradiated costal cartilage from tissue banks for nasal dorsal augmentation.
  • Employed proper surgical techniques, including antibiotic use, sculpting, and graft placement.

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  • Followed patients long-term to assess outcomes and complications.

    • Main Results:

    • Irradiated costal cartilage grafts were successfully used in numerous patients.
    • Low complication rates, including minimal warping, resorption, infection, or extrusion, were observed.
    • Long-term follow-up demonstrated favorable aesthetic and functional results.

    Conclusions:

    • Irradiated homograft costal cartilage is a viable and effective alternative for nasal dorsal augmentation.
    • This method avoids the morbidity associated with autologous rib cartilage harvesting.
    • It provides a reliable option for patients needing significant nasal dorsal reconstruction.