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Augmentative rhinoplasty with an "auricular gibbus"
1Unidad de Cirugía Plástica y Estética, Hospital Casa de Salud, Valencia, Spain.
Aesthetic Plastic Surgery
|June 9, 1998
Summary
This study revises using autologous auricular cartilage to augment nasal volume, effectively treating various nasal dorsum irregularities. This technique offers a reliable solution for nasal reconstruction with minimal donor site morbidity.
Area of Science:
- Plastic Surgery
- Otolaryngology
Background:
- Nasal dorsum deformities, including depressions and asymmetries, require effective augmentation techniques.
- Previous methods utilized diverse autologous and alloplastic materials for nasal augmentation.
Purpose of the Study:
- To present a refined technique for nasal dorsum augmentation using autologous auricular cartilage.
- To evaluate the efficacy and safety of this method over a decade.
Main Methods:
- Autologous auricular cartilage, specifically from the upper fossette of the concha, was harvested.
- The cartilage graft was used to augment depressed, asymmetrical, and irregular nasal dorsa in nearly 350 cases.
- Techniques for uni- or bilateral grafting were employed to achieve desired nasal contours.
Main Results:
- A decade of experience with nearly 350 cases demonstrates successful augmentation of nasal dorsa.
- The technique effectively addressed traumatic, secondary, and congenital nasal deformities.
- Donor site morbidity was minimal when the ear was treated appropriately.
Conclusions:
- Autologous auricular cartilage is a versatile and effective material for nasal dorsum augmentation.
- This technique provides a reliable and safe alternative for correcting various nasal irregularities.
- The method is suitable for most cases, with modifications for exceptional volume requirements.