Journal archive · Revision and secondary rhinoplasty · Rib, ear and septal grafts · Complications and management · Anatomy and nasal analysis · 2023
Commentary on: Analysis of the Cause of Cartilage Warping in the Rhinoplasty of Costal Cartilage and Application of Embed-In Graft in Revision Surgery
Boutros S.
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Revision and secondary rhinoplasty
Between 5% and 15% of rhinoplasties are done again, and the published series say the second operation is a different problem from the first: the cartilage is gone, the skin is scarred and less able to survive, and the airway is usually part of the complaint.
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.
Complications and management
Serious complications after rhinoplasty are rare: infection runs under 1% in the two largest single-surgeon series, pooled rib harvests record no pneumothorax, and the bleeding series record no thromboembolism.
Anatomy and nasal analysis
Before any technique is chosen, the nose has to be read: the bone measured, the cartilage counted, the skin assessed, and the result the patient wants agreed on a photograph that is not yet true.
Related papers
Same topic, 2023.
- ASJ A Modified Technique in Rhinoplasty: A Septal Extension Graft Complex Using Septal Cartilage, Ethmoid Bone, and Auricular CartilageWang J, Li B, Wang Q et al.2023PMID 35786707Summary
- ASJ An Anatomic Analysis of the Bony Vault: From the Perspective of Osteotomy in RhinoplastyKim SJ, Kim TH, Lee KH2023PMID 36594157Summary
- ASJ Analysis of the Cause of Cartilage Warping in the Rhinoplasty of Costal Cartilage and Application of Embed-In Graft in Revisional SurgeryXu Y, Zhang X, You J et al.2023PMID 36656674Summary
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