Augmentation Rhinoplasty with Rib Cartilage Graft

Objective: To investigate the outcome and complications of augmentation rhinoplasty with rib cartilage grafts   Methods: Study Design:            Retrospective study Setting:                       Tertiary Government Hospital Participants:              Patients who underwent dorsal na...

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Main Authors: Elaine Marie A. Lagura, Eduardo C. Yap, Anna Victoria G. Garcia
Format: Article
Language:English
Published: Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. 2015-06-01
Series:Philippine Journal of Otolaryngology Head and Neck Surgery
Subjects:
Online Access:https://pjohns.pso-hns.org/index.php/pjohns/article/view/383
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author Elaine Marie A. Lagura
Eduardo C. Yap
Anna Victoria G. Garcia
author_facet Elaine Marie A. Lagura
Eduardo C. Yap
Anna Victoria G. Garcia
author_sort Elaine Marie A. Lagura
collection DOAJ
description Objective: To investigate the outcome and complications of augmentation rhinoplasty with rib cartilage grafts   Methods: Study Design:            Retrospective study Setting:                       Tertiary Government Hospital Participants:              Patients who underwent dorsal nasal augmentation with autologous rib cartilage grafts between June 2008 and October 2012.   Results: A total of 12 patients (3 male, 9 female) were included in the study. Mean age was 29 years. Seven were cases of primary simple rhinoplasty with 4 cases of revision (previously using alloplastic materials) and one case of trauma. Indications for the procedure were all cosmetic. There was no incidence of infection, both in the donor and recipient sites, warping of the graft, graft extrusion, resorption, pneumothorax, chest wall deformity or prolonged edema. Post-operative pain in the donor site was relieved by oral pain medications. No revision surgery was required.   Conclusion: Costal cartilage is a good option for structural support of the nose. In our experience patients have become wary of the complication of allografts and have opted to use autografts. The surgeon’s knowledge of the nasal anatomy as well as his or her experience with autologous grafts plays a major role in avoiding post-operative morbidity. Keywords: Rhinoplasty, rib graft, costal cartilage graft, Southeast Asian nose
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spelling doaj.art-07e03d2acc554d5ab1e959196ed4cb392022-12-21T19:14:23ZengPhilippine Society of Otolaryngology-Head and Neck Surgery, Inc.Philippine Journal of Otolaryngology Head and Neck Surgery1908-48892094-15012015-06-0130110.32412/pjohns.v30i1.383Augmentation Rhinoplasty with Rib Cartilage GraftElaine Marie A. Lagura0Eduardo C. Yap1Anna Victoria G. Garcia2Department of Otolaryngology Head and Neck Surgery Ospitalng MakatiDepartment of Otolaryngology Head and Neck Surgery Ospitalng MakatiDepartment of Otolaryngology Head and Neck Surgery Ospitalng MakatiObjective: To investigate the outcome and complications of augmentation rhinoplasty with rib cartilage grafts   Methods: Study Design:            Retrospective study Setting:                       Tertiary Government Hospital Participants:              Patients who underwent dorsal nasal augmentation with autologous rib cartilage grafts between June 2008 and October 2012.   Results: A total of 12 patients (3 male, 9 female) were included in the study. Mean age was 29 years. Seven were cases of primary simple rhinoplasty with 4 cases of revision (previously using alloplastic materials) and one case of trauma. Indications for the procedure were all cosmetic. There was no incidence of infection, both in the donor and recipient sites, warping of the graft, graft extrusion, resorption, pneumothorax, chest wall deformity or prolonged edema. Post-operative pain in the donor site was relieved by oral pain medications. No revision surgery was required.   Conclusion: Costal cartilage is a good option for structural support of the nose. In our experience patients have become wary of the complication of allografts and have opted to use autografts. The surgeon’s knowledge of the nasal anatomy as well as his or her experience with autologous grafts plays a major role in avoiding post-operative morbidity. Keywords: Rhinoplasty, rib graft, costal cartilage graft, Southeast Asian nosehttps://pjohns.pso-hns.org/index.php/pjohns/article/view/383Rhinoplasty, rib graft, costal cartilage graft, Southeast Asian nose
spellingShingle Elaine Marie A. Lagura
Eduardo C. Yap
Anna Victoria G. Garcia
Augmentation Rhinoplasty with Rib Cartilage Graft
Philippine Journal of Otolaryngology Head and Neck Surgery
Rhinoplasty, rib graft, costal cartilage graft, Southeast Asian nose
title Augmentation Rhinoplasty with Rib Cartilage Graft
title_full Augmentation Rhinoplasty with Rib Cartilage Graft
title_fullStr Augmentation Rhinoplasty with Rib Cartilage Graft
title_full_unstemmed Augmentation Rhinoplasty with Rib Cartilage Graft
title_short Augmentation Rhinoplasty with Rib Cartilage Graft
title_sort augmentation rhinoplasty with rib cartilage graft
topic Rhinoplasty, rib graft, costal cartilage graft, Southeast Asian nose
url https://pjohns.pso-hns.org/index.php/pjohns/article/view/383
work_keys_str_mv AT elainemariealagura augmentationrhinoplastywithribcartilagegraft
AT eduardocyap augmentationrhinoplastywithribcartilagegraft
AT annavictoriaggarcia augmentationrhinoplastywithribcartilagegraft