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Closed Rhinoplasty with a Mushroom-Shaped Costal Cartilage Graft in East Asian Patients

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  • Rhinoplasty
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Abstract

Background

The most challenging part of rhinoplasty is nasal tip management. For East Asian patients with a bulbous under projected nasal tip with thick skin, autologous cartilage is considered the gold-standard graft material to provide strong support to the nasal tip and effectively increase tip projection. The present study aimed to evaluate the outcomes of closed rhinoplasty with a mushroom-shaped costal cartilage graft in East Asian patients.

Methods

From February 2018 to May 2019, 52 patients underwent rhinoplasty with a mushroom-shaped costal cartilage graft in our institution. Rhinoplasty was performed through a bilateral endonasal incision. Postoperatively, all patients were photographed and asked to complete a satisfaction survey online or by telephone.

Results

The mean follow-up period was 15.8 months (range 12–21 months). Twenty-four of 52 patients agreed to participate in this study. Postoperatively, the mean nasofrontal angle was 137.7 ± 3.7°, mean nasolabial angle was 94.1 ± 6.2°, mean nasal tip angle was 79.4 ± 5.2°, and mean columellar/lobular angle was 44.7 ± 2.4°. The mean tip projection/nasal length index was 0.53 ± 0.07, and the mean columellar/lobular length index was 1.21 ± 0.22. There were no prolonged functional complications. Most patients (23/24; 95.8%) were satisfied with the aesthetic results.

Conclusion

The present results suggest that the mushroom-shaped costal cartilage graft in closed rhinoplasty is a good choice for the correction of a bulbous under projected nasal tip.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Acknowledgements

The authors thank all of their colleagues at the Department of Burn and Plastic Surgery, The Second Xiangya Hospital, Central South University, for their full cooperation and support.

Funding

The authors do not have any commercial interest and received no financial support for the research, authorship, and publication of this article.

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Authors and Affiliations

  1. Department of Burn and Plastic Surgery, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China

    Fanglin Zeng, Xianxi Meng, Xiang Xiong, Conghang Jiang, Jinyuan Chang, Ying Liang, Yang Sun & Xiancheng Wang

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  1. Fanglin Zeng
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  2. Xianxi Meng
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  3. Xiang Xiong
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  4. Conghang Jiang
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  7. Yang Sun
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Correspondence to Xiancheng Wang.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

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Zeng, F., Meng, X., Xiong, X. et al. Closed Rhinoplasty with a Mushroom-Shaped Costal Cartilage Graft in East Asian Patients. Aesth Plast Surg 44, 519–526 (2020). https://doi.org/10.1007/s00266-019-01560-w

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