Countercurve Placement of Conchal Cartilage Grafts Used for Correction of Nasal Tip Deformities

We present a technique, which has not been previously described in the literature, of using rolled autogenous conchal cartilage for dorsal augmentation via an endonasal or external rhinoplasty approach. This technique gives greater dorsal height compared with the more common layering techniques. It is most appropriate in the minimally or moderately saddled nose.

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The Versatile Autogenous Rib Graft in Septorhinoplasty

American Journal of Rhinology ◽

10.2500/105065898781390136 ◽

1998 ◽

Vol 12 (3) ◽

pp. 221-228 ◽

Cited By ~ 30

Author(s):

David A. Sherris ◽

Eugene B. Kern

Keyword(s):

Costal Cartilage ◽

Cartilage Graft ◽

Cartilage Grafts ◽

Conchal Cartilage ◽

Revision Rhinoplasty ◽

Dorsal Onlay ◽

Harvest Techniques ◽

Onlay Grafts ◽

Graft Resorption ◽

Costal Cartilage Graft

In the graft depleted revision rhinoplasty patient and the patient with major tissue needs, alternatives to septal and conchal cartilage grafts are needed. The costal cartilage graft and rib bone/costal cartilage combination graft are excellent alternatives. In this study 14 patients received 40 grafts from 20 autogenous ribs harvested during septorhinoplasty. Materials were harvested for use as septal replacement grafts, cantilevered grafts, dorsal onlay grafts, columellar struts, and tip grafts. Patient followup was 6 to 31 months, and no evidence of graft resorption or warpage was evident during that period. Complications of harvest were minimal, and harvest techniques are detailed.

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Use of Contoured and Stabilized Conchal Cartilage Grafts for Lower Eyelid Support

Ophthalmic Plastic and Reconstructive Surgery ◽

10.1097/00002341-199006000-00044 ◽

1990 ◽

Vol 6 (2) ◽

pp. 149

Author(s):

Richard P. Carroll

Keyword(s):

Lower Eyelid ◽

Cartilage Grafts ◽

Conchal Cartilage

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Use of 2-Octylcyanoacrylate (Dermabond) Tissue Adhesive for Tip Graft Fixation in Open Rhinoplasty

Otolaryngology ◽

10.1177/0194599811419094 ◽

2011 ◽

Vol 145 (5) ◽

pp. 737-741 ◽

Cited By ~ 7

Author(s):

Jin-Young Min ◽

Yong Ju Jang

Keyword(s):

Complication Rate ◽

Soft Tissues ◽

Costal Cartilage ◽

Tertiary Care ◽

Case Series ◽

Tissue Adhesive ◽

Open Rhinoplasty ◽

External Approach ◽

Cartilage Grafts ◽

Nasal Tip

Objectives. To describe the use of 2-octylcyanoacrylate (2-OCA; Dermabond) for fixation of cartilage grafts in nasal tip surgery via an external approach in Asian patients. Study Design. Case series with chart review. Setting. Academic tertiary care medical center. Subjects and Methods. This retrospective study analyzed data from 33 Korean patients who underwent open rhinoplasty using 2-OCA tissue adhesive for fixation of cartilage grafts in tip surgery. Autologous septal, conchal, costal, or homologous costal cartilage was used as graft materials. Layers of cartilages were bonded using 2-OCA tissue adhesive, and care was taken to prevent the tissue adhesive from spilling and directly contacting surrounding soft tissues. Preoperative and postoperative photographs were reviewed for objective and subjective assessment of aesthetic outcomes. Results. Postoperative aesthetic outcomes were graded as excellent in 51.5%, fair in 33.3%, and no change/worse in 15.2% of patients. Preoperative and postoperative anthropometric measurements showed that the nasal tip projection increased (0.53 ± 0.03 vs 0.57 ± 0.05; P < .05) and the nasolabial angle improved (92.54 ± 6.95 vs 96.12 ± 5.20; P < .05). The overall complication rate was 24.2%, and complications included erythema (9.1%), infection (12.1%), and aesthetic dissatisfaction (3.0%). Conclusion. Although using 2-OCA tissue adhesive for tip surgery simplifies the surgical procedures of fixating graft materials, the relatively high complication rate may preclude its use in nasal tip surgery via an external approach for Asian noses.

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