Posttraumatic Augmentation Rhinoplasty Using an Osseocartilaginous Cantilever Graft

Seong Hyuk Park, Byungkwon Kang, Jee H. Chung, Seokchan Eun

Research output: Contribution to journalArticle

Abstract

Background Augmentation rhinoplasty in Asians may be effectively accomplished with alloplastic materials. However, certain circumstances such as nasal bone fractures mandate the use of autologous grafts. The purpose of this study was to describe and evaluate the results of modified osseocartilaginous rib cantilever grafting for aesthetic and reconstructive rhinoplasty in patients with acute nasal bone fractures. Methods Forty-three patients with nasal bone fracture underwent surgical reconstruction with an autogenous rib graft. Anatomic reconstruction and dorsal augmentation were performed using 1 piece of a carved osseocartilaginous rib graft each for the bony and cartilaginous parts of the nose. The average time to surgery was 6.5 days, and patient's subjective satisfaction was scored. Results "Excellent" or "good" cosmetic outcomes were reported by 37 patients (86%). There were 3 cases of secondary revision. Donor-site morbidity was not an issue in any patient. Conclusions Anatomic reconstruction of the nasal dorsum and refining the nasal tip using an osseocartilaginous rib graft with the cantilever technique are effective in acute nasal trauma patients who wish to enhance their nasal profile in the primary treatment setting.

Original languageEnglish
Pages (from-to)135-138
Number of pages4
JournalAnnals of Plastic Surgery
Volume84
Issue number2
DOIs
StatePublished - 1 Feb 2020
Externally publishedYes

Fingerprint

Rhinoplasty
Nose
Ribs
Nasal Bone
Bone Fractures
Transplants
Patient Satisfaction
Esthetics
Cosmetics
Tissue Donors
Morbidity
Wounds and Injuries

Keywords

  • aesthetics
  • bone
  • costal cartilage
  • fracture
  • grafting
  • nose
  • osseocartilaginous graft
  • reconstructive surgery
  • rhinoplasty

Cite this

Park, Seong Hyuk ; Kang, Byungkwon ; Chung, Jee H. ; Eun, Seokchan. / Posttraumatic Augmentation Rhinoplasty Using an Osseocartilaginous Cantilever Graft. In: Annals of Plastic Surgery. 2020 ; Vol. 84, No. 2. pp. 135-138.
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Posttraumatic Augmentation Rhinoplasty Using an Osseocartilaginous Cantilever Graft. / Park, Seong Hyuk; Kang, Byungkwon; Chung, Jee H.; Eun, Seokchan.

In: Annals of Plastic Surgery, Vol. 84, No. 2, 01.02.2020, p. 135-138.

Research output: Contribution to journalArticle

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