Augmentation Grafts in Septorhinoplasty: Our Experience
Author(s)
R. V. Nataraj,
Jagade Mohan,
Chavan Reshma,
Parelkar Kartik,
Hanawte Reshma,
Singhal Arpita,
Kulsange Kiran,
Rengaraja Dev,
Rao Kartik,
Gupta Pallavi
Affiliation(s)
Department of Ear, Nose & Throat and Head and Neck Surgery, Grant Government Medical College, Mumbai, India.
Department of Ear, Nose & Throat and Head and Neck Surgery, Grant Government Medical College, Mumbai, India.
ABSTRACT
Augmentation of nasal tip and/or dorsum forms the keystone of any Septorhinoplasty surgery. The grafts available for augmentation are numerous and varied. Choice of the graft depends upon the type of augmentation required, patient characteristics and, most importantly, the surgeon. In this article, we would like to present our experience with various augmentation grafts. In our experience, autografts are best grafts for augmentation. But in cases of revision surgeries or deficiency of autografts, allografts can be used. Our choice of allograft is Poly Diaxone Sheath or PDS.
Augmentation of nasal tip and/or dorsum forms the keystone of any Septorhinoplasty surgery. The grafts available for augmentation are numerous and varied. Choice of the graft depends upon the type of augmentation required, patient characteristics and, most importantly, the surgeon. In this article, we would like to present our experience with various augmentation grafts. In our experience, autografts are best grafts for augmentation. But in cases of revision surgeries or deficiency of autografts, allografts can be used. Our choice of allograft is Poly Diaxone Sheath or PDS.
Cite this paper
Nataraj, R. , Mohan, J. , Reshma, C. , Kartik, P. , Reshma, H. , Arpita, S. , Kiran, K. , Dev, R. , Kartik, R. and Pallavi, G. (2015) Augmentation Grafts in Septorhinoplasty: Our Experience. International Journal of Otolaryngology and Head & Neck Surgery, 4, 317-324. doi: 10.4236/ijohns.2015.44054.
Nataraj, R. , Mohan, J. , Reshma, C. , Kartik, P. , Reshma, H. , Arpita, S. , Kiran, K. , Dev, R. , Kartik, R. and Pallavi, G. (2015) Augmentation Grafts in Septorhinoplasty: Our Experience. International Journal of Otolaryngology and Head & Neck Surgery, 4, 317-324. doi: 10.4236/ijohns.2015.44054.
References
[1] Romo III, T. and Pearson, J.M. (2008) Nasal Implants. Facial Plastic Surgery Clinics of North America, 16, 123-132.
http://dx.doi.org/10.1016/j.fsc.2007.09.004 [2] Sadeghi, M., Saedi, B., Sazegar, A.A. and Amiri, M. (2009) The Role of Columellar Struts to Gain and Maintain Tip Projection and Rotation: A Randomized Blinded Trial. American Journal of Rhinology and Allergy, 23, e47-e50.
http://dx.doi.org/10.2500/ajra.2009.23.3392 [3] Kim, J.H., Song, J.W., Park, S.W., Oh, W.S. and Lee, J.H. (2014) Effective Septal Extension Graft for Asian Rhinoplasty. Archives of Plastic Surgery, 41, 3-11. [4] Roofe, S.B. (2004) Surgery of the Nasal Valve. Archives of Facial Plastic Surgury, 6, 167-171.
http://dx.doi.org/10.1001/archfaci.6.3.167 [5] Teymoortash, A., Fasunla J.A. and Sazgar, A.A. (2012) The Value of Spreader Grafts in Rhinoplasty: A Critical Review. European Archives of Oto-Rhino-Laryngology, 269, 1411-1416.
http://dx.doi.org/10.1007/s00405-011-1837-y [6] Menick, F.J. (1999) Anatomic Reconstruction of the Nasal Tip Cartilage in Secondary and Reconstructive Rhinoplasty. Plastic and Reconstructive Surgery, 104, 2187-2201. [7] Scattolin, A. and D’Ascanio, L. (2013) Grafts in “Closed” Rhinoplasty. Acta Otorhinolaryngologica Italica, 33, 169-176. [8] Bussi, M., Palonta, F. and Toma, S. (2013) Grafting in Revision Rhinoplasty. Acta Otorhinolaryngologica Italica, 33, 183-189. [9] Saeed, M., Hussain, Z. and Mian, F.A. (2012) Augmentation Rhinoplasty with Autologus Iliac Crest Bone Graft. A.P.M.C, 6, 18-21. [10] Breitbart, A.S. and Ablaza, V.J. (2006) Implant Materials. In: Thorne, C.H., Bartlett, S.P., Beasley, R.W., Aston, S.J., Gurtner, G.C. and Spear, S.L., Eds., Grabb and Smith’s Plastic Surgery, 6th Edition, Lippincott Williams & Wilkins, Philadelphia, Chapter 7, 58-65. [11] www.pdsflexibleplate.com
[1] Romo III, T. and Pearson, J.M. (2008) Nasal Implants. Facial Plastic Surgery Clinics of North America, 16, 123-132.
http://dx.doi.org/10.1016/j.fsc.2007.09.004 [2] Sadeghi, M., Saedi, B., Sazegar, A.A. and Amiri, M. (2009) The Role of Columellar Struts to Gain and Maintain Tip Projection and Rotation: A Randomized Blinded Trial. American Journal of Rhinology and Allergy, 23, e47-e50.
http://dx.doi.org/10.2500/ajra.2009.23.3392 [3] Kim, J.H., Song, J.W., Park, S.W., Oh, W.S. and Lee, J.H. (2014) Effective Septal Extension Graft for Asian Rhinoplasty. Archives of Plastic Surgery, 41, 3-11. [4] Roofe, S.B. (2004) Surgery of the Nasal Valve. Archives of Facial Plastic Surgury, 6, 167-171.
http://dx.doi.org/10.1001/archfaci.6.3.167 [5] Teymoortash, A., Fasunla J.A. and Sazgar, A.A. (2012) The Value of Spreader Grafts in Rhinoplasty: A Critical Review. European Archives of Oto-Rhino-Laryngology, 269, 1411-1416.
http://dx.doi.org/10.1007/s00405-011-1837-y [6] Menick, F.J. (1999) Anatomic Reconstruction of the Nasal Tip Cartilage in Secondary and Reconstructive Rhinoplasty. Plastic and Reconstructive Surgery, 104, 2187-2201. [7] Scattolin, A. and D’Ascanio, L. (2013) Grafts in “Closed” Rhinoplasty. Acta Otorhinolaryngologica Italica, 33, 169-176. [8] Bussi, M., Palonta, F. and Toma, S. (2013) Grafting in Revision Rhinoplasty. Acta Otorhinolaryngologica Italica, 33, 183-189. [9] Saeed, M., Hussain, Z. and Mian, F.A. (2012) Augmentation Rhinoplasty with Autologus Iliac Crest Bone Graft. A.P.M.C, 6, 18-21. [10] Breitbart, A.S. and Ablaza, V.J. (2006) Implant Materials. In: Thorne, C.H., Bartlett, S.P., Beasley, R.W., Aston, S.J., Gurtner, G.C. and Spear, S.L., Eds., Grabb and Smith’s Plastic Surgery, 6th Edition, Lippincott Williams & Wilkins, Philadelphia, Chapter 7, 58-65. [11] www.pdsflexibleplate.com