Dorsal augmentation of saddle nose deformity with toothpick-shaped costal cartilage grafts in the secondary septorhinoplasty

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dc.authorid0000-0002-9644-4583
dc.authorid0000-0002-3887-4569
dc.contributor.authorCevizci, Raşit
dc.contributor.authorÜstün Bezgin, Selin
dc.contributor.authorÇakır, Burak Ömür
dc.contributor.authorKersin, Burak
dc.contributor.authorBayazıt, Yıldırım Ahmet
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:57:51Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:57:51Z
dc.date.issued2017
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun Boğaz Hastalıkları Ana Bilim Dalı
dc.descriptionWOS: 000415085100079
dc.descriptionPubMed ID: 28953158
dc.description.abstractSaddle nose deformity is a challenging complication of septoplasty or septorhinoplasty, characterized by underprojected cartilaginous dorsum. Nasal dorsal augmentation is a significant part of reconstructive surgery of saddle nose deformities. In this study, the authors aimed to discuss the results of using toothpick-shaped costal cartilage grafts in nasal dorsal augmentation of saddle nose deformity. Twelve patients who underwent nasal dorsal augmentation due to moderate to severe saddle nose deformity secondary to the previous septoplasty or septorhinoplasty were retrospectively reviewed. Costal cartilage grafts prepared in the shape of toothpicks were used in all patients. Costal cartilage was used as toothpick-shaped free grafts in 12 patients (female: 7, male: 5) with a mean age of 42 (range: 24-56) for dorsal augmentation in the secondary septorhinoplasty. All patients had a history of previous surgery (septoplasty, n=9; and septorhinoplasty, n=3). All patients were operated under general anesthesia with open technique septorhinoplasty. The mean follow-up was 18 (range: 9-48) months. In only 1 of the 12 patients, a postoperative complication was observed including an infection of the tip area in the second postoperative week. None of the patients experienced donor site complications or major graft resorption. All patients were satisfied with functional and esthetic outcomes. No revision surgery was needed in any patient. Toothpick-shaped costal cartilage grafts are useful in nasal dorsal augmentation of moderate to severe saddle nose deformity. This technique offers smooth camouflage, satisfactory accordance with the recipient region, and shorter operation time. In addition, it avoids the side effects from wrapping techniques such as foreign body reaction or additional donor site morbidities.
dc.identifier.citationCevizci, R., Üstün Bezgin, S., Çakır, B. Ö., Kersin, B. ve Bayazıt, Y. A. (2017). Dorsal augmentation of saddle nose deformity with toothpick-shaped costal cartilage grafts in the secondary septorhinoplasty. Journal of Craniofacial Surgey, 28(8), 2063-2065. https://dx.doi.org/10.1097/SCS.0000000000004032
dc.identifier.doi10.1097/SCS.0000000000004032
dc.identifier.endpage2065
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue8
dc.identifier.scopusqualityQ2
dc.identifier.startpage2063
dc.identifier.urihttps://dx.doi.org/10.1097/SCS.0000000000004032
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3061
dc.identifier.volume28
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJournal of Craniofacial Surgeyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectCostal Cartilage
dc.subjectNasal Dorsal Augmentation
dc.subjectSaddle Nose Deformity
dc.subjectSeptorhinoplasty
dc.titleDorsal augmentation of saddle nose deformity with toothpick-shaped costal cartilage grafts in the secondary septorhinoplasty
dc.typeArticle

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