Journal archive · Rib, ear and septal grafts · Nasal tip · Open versus closed approach · Cleft, trauma and reconstruction · 2019
Alar Rim Reconstruction With Autologous Graft Cartilage: External Approach
Orlando GJ, Marquez E.
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 alar rim grafts.
From the abstract
“Alar deformities are frequently sequels of the incorrect primary rhinoplasties. Malpositions and irregular cartilage as consequence of either inadequated or exaggerated resection are the skeletal representation not only of aesthetic deformities but also collapse or depression, airway obstruction, valve narrowing by…”
Excerpt; the full abstract is on PubMed.
Citation
Start here
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.
Open versus closed approach
Whether the surgeon opens the nose through a small incision across the columella or works entirely through the nostrils has been argued in print since 1973, was put on facing pages of Plastic and Reconstructive Surgery by Jack Gunter and Jack Sheen in 1997, and was finally pooled in 2025: across twenty studies and 1,067 patients there is no significant difference in what patients report, in breathing, in complications or in swelling.
Cleft, trauma and reconstruction
A cleft nose is a sequence spread across a childhood: a repair at three months, sometimes a second at five or six, and a definitive rhinoplasty once the face has finished growing.
Related papers
Same topic, 2019.
- ASJ Beyond the L-Strut: Redefining the Biomechanics of Rhinoplasty Using Topographic Optimization ModelingGlass GE, Staruch RMT, Ruston J et al.2019PMID 30380010Summary
- ASJ Onlay Fascial Grafts to Silicone-Polytetrafluorethylene Composite Implants in Augmentation Rhinoplasty: A Retrospective Study of 241 CasesKhoo LS, Yen CI, Chang CS et al.2019PMID 31329818Summary
- ASJ Scroll Reconstruction: Fine Tuning of the Interface Between Middle and Lower Thirds in RhinoplastyBitik O, Uzun H, Konaş E2019PMID 29394311Summary
- ASJ 2019PMID 30107387Summary
- APS Comparative Study of the Effectiveness of sub mucosal Partial Inferior Turbinectomy and Out fracture of Inferior Turbinate in the Nasal Respiratory Function of Rhinoplasty PatientsOmranifard M, Adib M, Ebrahimpour Boroujeni S et al.2019PMID 31263933Summary
- APS Dorsal Augmentation with Diced Conchal Cartilage Wrapped in Retroauricular FasciaCampiglio G, Rafanelli G, Klinger F et al.2019PMID 30820612Abstract
- APS 2019PMID 30919034
- APS 2019PMID 31342122