Thyroid Alar Cartilage Graft Laryngotracheal Reconstruction in Adults

2011 ◽  
Vol 144 (5) ◽  
pp. 747-750 ◽  
Author(s):  
Pengcheng Cui ◽  
Pengfei Gao ◽  
Jiasheng Luo ◽  
Yanyan Ruan
Keyword(s):  
Alar Cartilage ◽  
Cartilage Graft ◽  
Laryngotracheal Reconstruction

Single Stage Laryngotracheal Reconstruction with Anterior Cartilage Graft

CSurgeries ◽  
2021 ◽  
Author(s):  
Rajanya Petersson ◽  
Leandro Socolovsky ◽  
Rhea Singh
Keyword(s):  
Single Stage ◽  
Cartilage Graft ◽  
Laryngotracheal Reconstruction

Evaluation of a new procedure for nasal alar rim and valve collapse: Nasal alar rim reconstruction

2000 ◽  
Vol 122 (2) ◽  
pp. 204-211 ◽  
Author(s):  
Robert J. Troell ◽  
Nelson B. Powell ◽  
Robert W. Riley ◽  
Kasey K. Li
Keyword(s):  
Retrospective Study ◽  
Medical Center ◽  
Subjective Evaluation ◽  
Alar Cartilage ◽  
Cartilage Graft ◽  
Nasal Valve ◽  
The Mean ◽  
Nasal Valve Collapse ◽  
Alar Rim ◽  
Valve Area

OBJECTIVE A new operative technique to improve nasal valve collapse by placement of cartilage struts along the alar rim was compared with the standard nasal valve cartilage graft (NVG) technique. METHODS AND PATIENTS A retrospective study of consecutive patients with nasal valve collapse was performed at Stanford University Medical Center. Seventy-nine patients with nasal valve collapse underwent reconstruction with either the classic NVG technique or a newly developed nasal alar rim reconstructive (NARR) procedure. The mean age of the NARR group was 50.13 years (SD ± 9.40), with 36 men (92.3%) and 3 women (7.7%). The mean age of the NVG group was 52.14 years (SD ± 10.83), with 36 men (90%) and 4 women (10%). MAIN OUTCOME MEASURES These included functional and subjective evaluation of nasal valve collapse. RESULTS Forty patients (50.6%) underwent the NVG technique, and 39 (49.4%) received the NARR procedure. The NVG technique revealed 0% worsened, 15.0% (6/40) unchanged, 25.0% (10/40) improved, and 60% (24/40) free of obstruction. The NARR procedure revealed 2.6% worsened, 2.6% unchanged, 7.7% improved, and 87.1% free of obstruction. CONCLUSIONS Nasal alar cartilage struts placed along the caudal alar rim offers sufficient support to the alar rim and valve area. This procedure appears to be as effective as currently available reconstructive alternatives, while being technically uncomplicated.

scholarly journals Composite correction of a unilateral cleft lip nose deformity and alveolar bone grafting

2009 ◽  
Vol 42 (S 01) ◽  
pp. S71-S78
Author(s):  
Nitin J. Mokal ◽  
Chintamani Kale ◽  
Keyword(s):  
Bone Grafting ◽  
Cleft Lip ◽  
Alveolar Bone ◽  
Septal Cartilage ◽  
Alar Cartilage ◽  
Open Rhinoplasty ◽  
Cartilage Graft ◽  
Nasal Deformity ◽  
Alveolar Bone Grafting ◽  
Alar Rim

ABSTRACT Background: Managing the cleft lip nasal deformity has always been a challenge. Even now, there is no single established universally accepted method of correction. The open alveolar gap and the ipsilateral hypoplastic maxilla are two major problems in achieving consistently good results in a cleft lip nasal deformity. In our study, after first assuring the orthodontic realignment of maxillary arches, we combined bone grafting in the alveolar gap and along the pyriform margin, with a formal open rhinoplasty approach. Methods: All the patients underwent orthodontic treatment for preparation of the alveolar bone grafting. During the process of alveolar bone graft, a strip of septal cartilage graft was harvested from the lower border of the septum which also helps to correct the septal deviation. The cancellous bone graft harvested from the iliac crest was used to fill the alveolar gap and placed along the pyriform margin to gain symmetry. Through open rhinoplasty along the alar rim and additionally using Potter's incision extending to the lateral vestibule, the lateral crura of the alar cartilage on the cleft side was released from its lateral attachment and advanced medially as a chondromucosal flap in a V–Y fashion, in order to bring the cleft-side alar cartilage into a normal symmetric position. The harvested septal cartilage graft was used as a columellar strut. The cleft nostril sill was narrowed by a Y–V advancement at the alar base and any overhanging alar rim skin was carefully excised to achieve symmetry. Results: The results of this composite approach were encouraging in our series of 15 patients with no additional morbidity and a better symmetry of the nose and airway especially in the adolescent age group. Conclusion: This concept of simultaneous approach when appropriate for nasal correction at the time of alveolar bone grafting showed an encouraging aesthetic and functional outcome.

The Combined Auricular Graft: A New Technique for Mestizo Nasal Tip Surgery

2018 ◽  
Vol 39 (12) ◽  
pp. 1297-1308
Author(s):  
Paulo A Escobar ◽  
Simon Zimmermann ◽  
Lukas Lunger
Keyword(s):  
Rotation Angle ◽  
Alar Cartilage ◽  
Cartilage Graft ◽  
Level Of Evidence ◽  
Tip Rotation ◽  
Nasal Tip ◽  
Primary Rhinoplasty ◽  
The Mean ◽  
Mean Differences ◽  
The Aesthetic

Abstract Background Current literature lacks a single cartilage graft to address problems in projection, rotation, and/or definition in mestizo patients that considers the alar cartilage structure, length, and shape characteristics of this population. Objectives The authors sought to describe a novel technique and evaluate the aesthetic outcomes of the combined auricular graft in mestizo patients undergoing primary rhinoplasty. Methods A retrospective cohort study of consecutive patients who underwent primary rhinoplasty using the combined auricular graft between January 2015 and June 2017 was performed. The minimum duration of follow-up was 6 months. Main outcomes were nasal tip projection and tip rotation angle. Results Among the 61 patients (38 women [62.2%] and 23 men [37.8%]; mean age, 29.3 ± 10.8 years), the mean differences in projection were statistically significant between T0 and T1, T0 and T2, and T0 and T3 (1.63, 1.39, and 1.32 mm, respectively). Thus, 80.9% of the increase in projection that had been achieved at T1 was maintained at T3 (P < 0.001). The relapse ratio measured 19.1% (mean difference T1-T3, 0.31 ± 0.10 mm). The mean tip rotation angle at T0 (111.69 ± 3.59°) significantly increased by 2.37 ± 3.13° (T3, 114.06 ± 2.50°, P < 0.001). Conclusions One single auricular cartilage graft can significantly improve projection and/or rotation by simultaneously addressing structure, length, and shape of lower lateral cartilages. Misbalance between the medial and lateral crura is avoided and retraction risks are prevented. Consequently, a more natural, precise, and accurate tip position is obtained. Level of Evidence: 4

The Survival of Costal Cartilage Graft in Laryngotracheal Reconstruction

1986 ◽  
Vol 94 (2) ◽  
pp. 204-211 ◽  
Author(s):  
George H. Zalzal ◽  
Robin T. Cotton ◽  
A. James McAdams
Keyword(s):  
Costal Cartilage ◽  
Cartilage Graft ◽  
Laryngotracheal Reconstruction ◽  
Costal Cartilage Graft

Auricular Cartilage Grafts in Laryngotracheal Reconstruction

1993 ◽  
Vol 102 (4) ◽  
pp. 247-254 ◽  
Author(s):  
Rodney P. Lusk ◽  
D. Richard Kang ◽  
Harlan R. Muntz
Keyword(s):  
Costal Cartilage ◽  
Subglottic Stenosis ◽  
High Rate ◽  
Cartilage Graft ◽  
Auricular Cartilage ◽  
Successful Management ◽  
Cartilage Grafts ◽  
Laryngotracheal Reconstruction ◽  
Rate Of Success ◽  
Costal Cartilage Graft

Introduction of the anterior cricoid split (decompression) and laryngotracheal reconstruction with costal cartilage graft has resulted in the successful management of many cases of subglottic stenosis. However, the procedure does not allow uniform extubation, and laryngotracheal reconstruction with costal cartilage may be too aggressive for neonates. We have explored the use of autogenous auricular cartilage graft in laryngotracheal reconstruction. Its high rate of success and low morbidity have enabled us to expand the indications. We report our experience in 23 patients with auricular cartilage grafts.

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