Zusammenfassung
Hintergrund
Insbesondere die Modellierung des Nasenrückens im Rahmen von Rhinoseptumplastiken stellt eine Herausforderung für den Operateur dar. Bei unsachgemäßer Handhabung drohen Unregelmäßigkeiten des Nasenrückens, die eine Hauptursache für Revisionsoperationen darstellen.
Zielsetzung
Es erfolgt die Vermittlung der Technik zur Feinmodellierung und diskreten Augmentation des Nasenrückens mittels „free diced cartilage“ (fDC).
Schlussfolgerung
Die Verwendung von fDC zur Feinmodellierung und diskreten Augmentation des Nasenrückens erlaubt sichere und zuverlässig reproduzierbare Ergebnisse bei niedriger Spenderarealmorbidität und hoher Kosteneffektivität.
Abstract
Background
The refinement of the nasal dorsum is one of the most challenging aspects for the surgeon during rhinoseptoplasty. Incorrect implementation can lead to irregularities of the nasal dorsum, which are one of the major causes for revision surgery.
Objective
This article describes the technique for precise shaping and discrete augmentation of the nasal dorsum using free diced cartilage (fDC).
Conclusion
Using fDC to shape and augment the nasal dorsum during rhinoseptoplasty enables reproducible results with low donor site morbidity and high cost-effectiveness to be achieved.
Literatur
Bracaglia R, Tambasco D, D’ettorre M et al (2012) „Nougat graft“: diced cartilage graft plus human fibrin glue for contouring and shaping of the nasal dorsum. Plast Reconstr Surg 130:741e–743e
Brenner KA, Mcconnell MP, Evans GR et al (2006) Survival of diced cartilage grafts: an experimental study. Plast Reconstr Surg 117:105–115
Bullocks JM, Echo A, Guerra G et al (2011) A novel autologous scaffold for diced-cartilage grafts in dorsal augmentation rhinoplasty. Aesthetic Plast Surg 35:569–579
Cakmak O, Buyuklu F (2007) Crushed cartilage grafts for concealing irregularities in rhinoplasty. Arch Facial Plast Surg 9:352–357
Codazzi D, Ortelli L, Robotti E (2014) Diced cartilage combined with warm blood glue for nasal dorsum enhancement. Aesthetic Plast Surg 38:822–823
Daniel RK, Calvert JW (2004) Diced cartilage grafts in rhinoplasty surgery. Plast Reconstr Surg 113:2156–2171
Daniel RK, Sajadian A (2012) Secondary rhinoplasty: management of the overresected dorsum. Facial Plast Surg 28:417–426
Erol OO (2000) The Turkish delight: a pliable graft for rhinoplasty. Plast Reconstr Surg 105:2229–2241 (discussion 2242–2223)
Fatemi MJ, Hasani ME, Rahimian S et al (2012) Survival of block and fascial-wrapped diced cartilage grafts: an experimental study in rabbits. Ann Plast Surg 69:326–330
Gryskiewicz JM, Rohrich RJ, Reagan BJ et al (2001) The use of Alloderm for the correction of nasal contour deformities. Plast Reconstr Surg 107:571
Gubisch W (1992) Implants in rhinoplasty – value and indications. Handchir Mikrochir Plast Chir 24:38–45
Hoehne J, Gubisch W, Kreutzer C et al (2016) Refining the nasal dorsum with free diced cartilage. Facial Plast Surg 32:345–350
Kelly MH, Bulstrode NW, Waterhouse N (2007) Versatility of diced cartilage-fascia grafts in dorsal nasal augmentation. Plast Reconstr Surg 120:1654–1659 (discussion 1654–1659)
Lee MR, Unger JG, Rohrich RJ (2011) Management of the nasal dorsum in rhinoplasty: a systematic review of the literature regarding technique, outcomes, and complications. Plast Reconstr Surg 128:538e–550e
Oreroglu AR, Cakir B, Akan M (2014) Bone dust and diced cartilage combined with blood glue: a practical technique for dorsum enhancement. Aesthetic Plast Surg 38:90–94
Tasman AJ (2013) Advances in nasal dorsal augmentation with diced cartilage. Curr Opin Otolaryngol Head Neck Surg 21:365–371
Winkler AA, Soler ZM, Leong PL et al (2012) Complications associated with alloplastic implants in rhinoplasty. Arch Facial Plast Surg 14:437–441
Yu K, Kim A, Pearlman SJ (2010) Functional and aesthetic concerns of patients seeking revision rhinoplasty. Arch Facial Plast Surg 12:291–297
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S. Mann, M. Brandstetter, W. Gubisch und S. Haack geben an, dass kein Interessenkonflikt besteht.
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Mann, S., Brandstetter, M., Gubisch, W. et al. Feinmodellierung und diskrete Augmentation des Nasenrückens mittels „free diced cartilage“. J Ästhet Chir 10, 16–20 (2017). https://doi.org/10.1007/s12631-016-0074-z
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DOI: https://doi.org/10.1007/s12631-016-0074-z