Abstract
Introduction
Rhinoplasty for caudal septal cartilage defects is a challenge due to the difficulty of fixation of the grafts.
Objectives
This study presents an approach for correcting defects in caudal septal cartilage with the costal cartilaginous framework using a mortise–tenon technique.
Methods
From May 2019 through May 2022, a retrospective analysis of patients with caudal septal cartilage defects underwent rhinoplasty using a mortise–tenon cartilaginous framework by a senior surgeon was performed. The surgical outcomes were evaluated both preoperatively and postoperatively.
Results
This study involved 17 patients, ranging in age from 27 to 58 years. There were 22.4 months of follow-up on average. There was no long-term or short-term complication observed. The aesthetic outcome of all cases was satisfactory. The mean score for the patients of the perceptions of improvement in their noses was 8.11.
Conclusion
Correction of caudal septal cartilage defects with this costal cartilaginous framework using the mortise–tenon technique is feasible and effective.
Level of Evidence IV
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Funding
This study was funded by Chinese Academy of Medical Science Innovation Fund for Medical Sciences (2021-I2M-1-052)
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XZ and ZS are responsible for the design of the study, acquisition of data, analysis, and interpretation of data and drafting the manuscript. YX, JY, HW, RZ, TL, and JG participated in the discussion and revision of the manuscript. FF is responsible for designing the study, revising the manuscript, and final approval of the version to be published.
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All procedures performed in studies involving the human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consents were obtained from the patients in this study.
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Zhang, X., Song, Z., Xu, Y. et al. Rhinoplasty with Mortise–Tenon Cartilaginous Framework for Caudal Septal Cartilage Defects. Aesth Plast Surg 48, 1737–1744 (2024). https://doi.org/10.1007/s00266-023-03733-0
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DOI: https://doi.org/10.1007/s00266-023-03733-0