Augmentative rhinoplasty with an "auricular gibbus"

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.