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Cartilage grafts for the nasal tip
1Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Maastricht, The Netherlands.
Clinical Otolaryngology and Allied Sciences
|December 1, 1993
Summary
The nasal lobule shield-type graft effectively maintains nasal tip projection in rhinoplasty. This autologous cartilage graft offers aesthetic refinement with minimal complications, ensuring patient satisfaction.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Plastic Surgery
Background:
- Nasal tip projection is a critical element in rhinoplasty outcomes.
- The nasal lobule shield-type graft, utilizing autologous cartilage, is a key technique for achieving and maintaining projection.
- This graft also influences nasal length, rotation, and tip refinement.
Purpose of the Study:
- To evaluate the efficacy and outcomes of using the nasal lobule shield-type graft in external rhinoplasty for nasal tip projection.
Main Methods:
- External rhinoplasty approach was utilized.
- Autologous cartilage grafts were employed for nasal tip support in a subset of patients.
- Data collected from 300 patients between 1989 and 1991, with 94 receiving tip grafts.
Main Results:
- The vast majority of patients reported pleasing aesthetic results.
- Nasal tip rigidity resolved in all patients within one year post-operatively.
- A single revision surgery was required due to graft resorption.
Conclusions:
- The nasal lobule shield-type graft is a reliable method for controlling nasal tip projection in rhinoplasty.
- The external approach facilitates precise graft placement and sculpting.
- This technique demonstrates a high degree of patient satisfaction and favorable long-term outcomes.