Journal archive · Rib, ear and septal grafts · Dorsum and hump · Outcomes, satisfaction and psychology · 2007
Dorsal nasal augmentation with rib cartilage graft: long-term results and patient satisfaction
Yilmaz M, Vayvada H, Menderes A, Mola F, Atabey A.
In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on long term results.
From the abstract
“Various alloplastic and autogenous materials have been used for dorsal nasal augmentation. Bone and cartilage autografts commonly are used. We used rib cartilage graft for dorsal nasal augmentation. The aim of this study was to investigate the long-term outcomes and patient satisfaction of dorsal nasal augmentation…”
Excerpt; the full abstract is on PubMed.
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Rib, ear and septal grafts
Modern rhinoplasty builds rather than removes, so the operation runs on cartilage: the septum first, then the ear, then the rib, and when none of those will do, a piece of donated rib from a tissue bank.
Dorsum and hump
The hump is the commonest reason people ask for rhinoplasty and the step that decides most of what follows: take the roof off and the middle vault has to be rebuilt, keep the roof and it may push its way back up.
Outcomes, satisfaction and psychology
Rhinoplasty is measured with ten different questionnaires, none of which covers both the way the nose looks and the way it breathes, and the best-developed one has no airway questions at all.
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- AOHN Total skeletal reconstruction of the nasal dorsumThornton MA, Mendelsohn M2006PMID 17116812Abstract
- RHIN Sub-alar batten grafts as treatment for nasal valve incompetence; description of technique and functional evaluationAndré RF, D'Souza AR, Kunst HP et al.2006PMID 16792170Abstract