Journal archive · Rib, ear and septal grafts · Nasal tip · 2013
Assessment of the 18-month permanence of onlay tip cartilage grafts following rhinoplasty
Persichetti P, Simone P, Carusi C.
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 tip onlay graft.
From the abstract
“Augmentation rhinoplasty requires addition of materials of various natures to reshape the nasal pyramid. Onlay tip grafts are single or multilayered grafts placed horizontally over the alar domes. The aim of the present study was to assess the 18-month permanence of onlay septal cartilage grafts. Twenty-eight patients…”
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.
Nasal tip
Tip surgery is now a support problem rather than a sculpting problem: the septal extension graft holds projection and rotation where the columellar strut loses them (0.2% against 4.7% projection loss at one year), and the current series repair, reposition and reinforce the lower lateral cartilages instead of excising them.
Related papers
Same topic, 2013.
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- APS Comparison of the effects of columellar strut and septal extension grafts for tip support in rhinoplastyAkkus AM, Eryilmaz E, Guneren E2013PMID 23708246Summary
- APS The use of short spreader grafts in rhinoplasty for patients with thick nasal skinGrigoryants V, Baroni A2013PMID 23519873Summary
- COOH 2013PMID 23842290Abstract
- FPS Alar-spanning suture for tip contouring in closed approach rhinoplasty for African-Caucasian nosesCedin AC2013PMID 23761120Summary
- FPS Rhinoplasty using autologous costal cartilageMiranda N, Larocca CG, Aponte C2013PMID 23761122Summary
- FPS Spreader graft in closed rhinoplasty: the "rail spreader"Scattolin A, Orlando N, D'Ascanio L2013PMID 24327251Summary