Abstract
Revisional rhinoplasty is a challenge for the nose surgeon. In most cases there is no septal cartilage, because that has been resected and used as a graft in previous interventions. Grafts olecranon and rib provide the properties needed to give support in the revisionales septorhinoplasty. This article presents detailed surgical technique in two males with multiple previous interventions. In one case of rib grafts were obtained in the same surgical time, in the other case, olecranon graft obtained using a prior intervention and was necessary to supplement with auricular concha cartilage.
Sajjadian A, Rubinstein R, Naghshineh N. Current status of grafts and implants in rhinoplasty: Part I. Autologous grafts. Plast Reconstr Surg. 2010 Mar;125(3):40-9.
Bussi M, Palonta F, Toma S. Grafting in revision rhinoplasty. Acta Otorhinolaryngol Ital. 2013;33(3):183-9.
Razmpa E, Saedi B, Mahbobi F. Augmentation rhinoplasty with combined use of Medpor graft and irradiated homograft rib cartilage in saddle nose deformity. Arch Iran Med. 2012 Apr;15(4):235-8.
Isac C, Mihajlovic D, Bratu T. Saddle nose deformity reconstructed with rib cartilage. Chirurgia. 2012;107:809-15.
Mao J, Carron M, Tomovic S. Cartilage grafts in dorsal nasal augmentation of traumatic saddle nose deformity: A longterm follow-up. Laryngoscope. 2009; 119:2111-7.
Moretti A, Sciuto S. Rib grafts in septorhinoplasty. Acta Otorhinolaryngol Ital. 2013;33:190-5.
Jared C, Hilger P. Osseocartilaginous rib graft rhinoplasty: a stable, predictable technique for major dorsal reconstruction. Arch Facial Plast Surg. 2011;13(2):78-83.
Inchingolo F, Tatullo M, Marrelli M. Clinical case-study describing the use of skin- perichondrium-cartilage graft from the auricularconcha to cover large defects of the nose. Head Face Med. 2012;8:10.
Caffrey JP, Kushnaryov AM, Reuther MS. Flexural properties of native and tissue-engineered human septal cartilage. Otolaryngol Head Neck Surg. 2013 Apr;148(4):576-81.
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights.
Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.