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Published on: June 20, 2018
Current Practices in Dorsal Augmentation Rhinoplasty
Mark Fisher1, Brandon Alba1, Jamil Ahmad1
1From the Division of Plastic and Reconstructive Surgery, Northwell Health, Zucker School of Medicine at Hofstra/Northwell; Division of Plastic and Reconstructive Surgery, University of Toronto; private practice; Cosmed Estetik Plastik Cerrahi; Division of Plastic and Reconstructive Surgery, Stanford University; and Dallas Plastic Surgery Institute.
Dorsal augmentation rhinoplasty uses various grafting materials like cartilage, bone, or synthetic implants to correct nasal dorsal deficiencies. Surgeons must understand the risks and benefits of each material for successful outcomes.
Area of Science:
- Plastic surgery
- Otolaryngology
Background:
- Dorsal augmentation rhinoplasty corrects aesthetic and functional issues from a deficient nasal dorsum.
- Various surgical techniques and grafting materials exist, each with pros and cons.
Purpose of the Study:
- To provide a comprehensive overview of grafting materials for dorsal augmentation.
- To detail the characteristics, uses, risks, and benefits of different augmentation materials.
Main Methods:
- Review of available grafting materials for dorsal augmentation.
- Analysis of autologous, homologous, and alloplastic materials.
Main Results:
- Autologous options include septal, auricular, and costal cartilage, or bone for structural support.
- Homologous grafts (e.g., rib) and acellular dermal matrices offer alternatives to autologous grafts.
- Alloplastic implants are viable but require careful consideration of risks.
Conclusions:
- Successful dorsal augmentation requires surgeon familiarity with diverse operative approaches and augmentation materials.
- Understanding the risks, benefits, and specific uses of each material is crucial for optimal patient results.
