| Related Articles |
Y-Shaped En-Bloc Mortise-Tenon Rhinoplasty Technique.
Aesthet Surg J. 2019 May 02;:
Authors: Tan Z, Sun W, Yang W, Zhu X, Dong F, Li Q, Li S
Abstract
BACKGROUND: Nasal tip management is the most important and challenging part of rhinoplasty. Costal cartilage can be used in septal extension grafting to effectively correct nasal shape deformity.
OBJECTIVE: We describe our experience with costal cartilage grafting for septal extension using a novel en-bloc mortise-tenon technique to correct primary or secondary nose deformity or to enhance nasal appearance in Asian patients.
METHODS: From July 2015 to December 2017, costal cartilage grafts were applied as septal extension biomaterials using the novel en-bloc mortise-tenon technique in 278 consecutive Asian rhinoplasty patients with primary (n = 95), secondary (n = 173), and tertiary (n=10) nose deformity or in patients needing nasal reshaping. The age of the patients ranged from 19 to 46 years. In all cases, the mucoperichondria of the nasal septum were dissected bilaterally from the septal cartilage. The prepared en-bloc costal cartilage graft was mounted onto the caudal portion of the septal cartilage and fixed to the septum with 5-0 polydioxanone sutures.
RESULTS: The follow-up duration ranged from 10 months to 2.5 years. Of the 278 patients treated, 5 were male and 273 were female. External lengthening of the nose from the nasal root to the tip ranged from 3 to 10 mm. All patients except one were satisfied with the shape of the nose.
CONCLUSIONS: We obtained good aesthetic results using the novel en-bloc mortise-tenon method for connecting costal cartilage grafts as septal extension materials in patients with different types of nasal deformity and in patients needing nose reshaping.
BACKGROUND: Nasal tip management is the most important and challenging part of rhinoplasty. Costal cartilage can be used in septal extension grafting to effectively correct nasal shape deformity.
OBJECTIVE: We describe our experience with costal cartilage grafting for septal extension using a novel en-bloc mortise-tenon technique to correct primary or secondary nose deformity or to enhance nasal appearance in Asian patients.
METHODS: From July 2015 to December 2017, costal cartilage grafts were applied as septal extension biomaterials using the novel en-bloc mortise-tenon technique in 278 consecutive Asian rhinoplasty patients with primary (n = 95), secondary (n = 173), and tertiary (n=10) nose deformity or in patients needing nasal reshaping. The age of the patients ranged from 19 to 46 years. In all cases, the mucoperichondria of the nasal septum were dissected bilaterally from the septal cartilage. The prepared en-bloc costal cartilage graft was mounted onto the caudal portion of the septal cartilage and fixed to the septum with 5-0 polydioxanone sutures.
RESULTS: The follow-up duration ranged from 10 months to 2.5 years. Of the 278 patients treated, 5 were male and 273 were female. External lengthening of the nose from the nasal root to the tip ranged from 3 to 10 mm. All patients except one were satisfied with the shape of the nose.
CONCLUSIONS: We obtained good aesthetic results using the novel en-bloc mortise-tenon method for connecting costal cartilage grafts as septal extension materials in patients with different types of nasal deformity and in patients needing nose reshaping.
PMID: 31044251 [PubMed - as supplied by publisher]
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου