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Multilayer tutoplast-processed fascia lata use in revision rhinoplasty for overresected dorsum

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Abstract

Background

Several grafting materials have been used in revision rhinoplasty to correct overresected dorsum. Autologous materials are generally preferred, but have the drawbacks of additional surgical time and donor site morbidity. Tutoplast-processed fascia lata (TPFL) offers a commercially available alternative to autologous fascia grafts. We reviewed the results of 42 revision rhinoplasty procedures that used TPFL with or without autologous cartilage to correct overresected dorsum.

Methods

Forty-two patients with overresected dorsum underwent revision rhinoplasty with multilayered TPFL at our institution between 2005 and 2012. Saddle nose deformities were classified into one of three types, according to severity. Surgical results were evaluated as excellent, good, or fair by an otolaryngologist who compared preoperative photographs with pictures taken at final follow-up. Surgical complications were analyzed.

Results

Of the 42 patients who underwent rhinoplasty with multilayered TPFL, 36 were treated with TPFL alone, while autologous cartilage was used concurrently in six. Twenty-six (62 %) of the patients showed excellent aesthetic improvement, 11 (26 %) showed good improvement, and five (12 %) showed fair improvement. There were no major complications. Minor complications included edema in six patients, major resorption in three, and minimal resorption in nine. Patients with mild or moderate saddle nose deformity had better surgical results than those with more severe deformity.

Conclusions

There are many possible methods to correct overresected dorsum. Multilayer TPFL is safe alternative to autologous rib cartilage grafts.

Level of Evidence: Level IV, therapeutic study.

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Acknowledgments

Authors are grateful to Dr. Deniz Hanci ENT surgeon who assessed aesthetic outcomes.

Conflict of interest

Huseyin Altun, Deniz Hanci, Yusuf Can declare that they have no conflict of interest.

Patient consent

Informed consent was obtained from all individual participants included in the study. Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

Ethical standards

The study was approved by the Institutional Ethics Committee and conducted in accordance with the Helsinki Declaration.

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Correspondence to Huseyin Altun.

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Altun, H., Hanci, D. & Can, Y. Multilayer tutoplast-processed fascia lata use in revision rhinoplasty for overresected dorsum. Eur J Plast Surg 38, 279–284 (2015). https://doi.org/10.1007/s00238-015-1082-5

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  • DOI: https://doi.org/10.1007/s00238-015-1082-5

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