ABSTRACT
Augmentation of the nasal framework requires a working knowledge of nasal and facial
anatomy, as well as the principles of facial proportion and balance. Dorsal augmentation
rhinoplasty is a valuable means of improving nasal appearance in patients with a low
and/or concave nasal dorsum, obtuse nasofrontal angle, and low radix. It frequently
is combined with other techniques, including columellar strut grafting, nasal tip
grafting, and tip suturing, as dorsal deficiencies are often associated with poor
tip projection and support and a shortened columella. Our experience with dorsal augmentation
rhinoplasty, including the use of irradiated homograft costal cartilage for grafting
in 56 surgeries, is described. A high level of patient satisfaction with a low percentage
of complications has been seen.
KEYWORDS
Dorsal augmentation - rhinoplasty - irradiated homograft costal cartilage
REFERENCES
- 1
Strauch B, Wallach S G.
Reconstruction with irradiated homograft costal cartilage.
Plast Reconstr Surg.
2003;
111
2405-2411
- 2
Strauch B, Erhard H A, Baum T.
Use of irradiated cartilage in rhinoplasty of the non-Caucasian nose.
Aesthetic Surg J.
2004;
24
324-330
- 3
Ofodile F A, Bokhari F, Ellis C.
The black American nose.
Ann Plast Surg.
1993;
31
209-218
- 4
Ofodile F A, Bokhari F.
The African-American nose. Part II.
Ann Plast Surg.
1995;
34
123-129
- 5
Dingman R O, Grabb W C.
Costal cartilage homografts preserved by irradiation.
Plast Reconstr Surg.
1961;
28
562-567
- 6
Schuller J E, Bardach J, Krause C J.
Irradiated homologous costal cartilage for facial contour restoration.
Arch Otolaryngol Head Neck Surg.
1977;
103
12-50
- 7
Kridel R W, Konior R J.
Irradiated cartilage grafts in the nose, A preliminary report.
Arch Otolaryngol Head Neck Surg.
1993;
1
24-30
- 8
Lefkovits G.
Irradiated homologous costal cartilage for augmentation rhinoplasty.
Ann Plast Surg.
1990;
25
317-327
- 9
Adams W P, Rohrich R S, Gunter J P, Clark C P, Robinson J B.
The rate of warping in irradiated and non-irradiated homograft rib cartilage: a controlled
comparison and clinical implications.
Plast Reconstr Surg.
1999;
103
265-270
- 10 Goode R. Irradiated Homograft Costal Cartilage. Presented at: Annual Meeting of
the Rhinoplasty Society May 3, 2001 New York, NY;
Charles K HermanM.D.
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