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Anales de Otorrinolaringología Mexicana

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2023, Number 1

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Otorrinolaringología 2023; 68 (1)

Immediate and medium-term results of the use of rib grafts in structural rhinoplasty

Mandujano-González A, Escobar-Barrios MS, Hernández-Rosales P, Laguna-Bárcenas SC, Flores-Montoya J
Full text How to cite this article

Language: Spanish
References: 12
Page: 14-23
PDF size: 320.41 Kb.


Key words:

costal cartilage, Rhinoplasty, Revision.

ABSTRACT

Objective: To observe the immediate and medium-term results in patients who underwent rhinoplasty with rib cartilage grafting.
Materials and Methods:: A retrospective study was carried out in which the records of patients who underwent rhinoplasty with autologous rib grafting in the Otorhinolaryngology service of Luis Guillermo Ibarra Ibarra National Rehabilitation Institute were reviewed from January 2016 to November 2020. Post-surgical evolution was assessed up to 31 months.
Results: Fourteen subjects were included. The main indications for the use of rib cartilage were: septal perforation, saddle nose, revision rhinoplasty. The main complications were: granuloma formation, columellar wound dehiscence, rhinoseptal deviation, fibrosis in the external nasal valve, cartilage resorption.
Conclusions: This technique is recommended for its characteristics and its ability to solve different problems in rhinoplasty, it also plays a structural role in reconstructive surgery procedures. This technique has obtained satisfactory results and it is worth exploring and exploiting this procedure in clinical practice.


REFERENCES

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  10. Tan O, Algan S, Cinal H, Barin EZ, Kara M, Inaloz A. Managementof saddle nose deformity using dermal fat andcostal cartilage “sandwich” graft: a problem-orientedapproach and anthropometric evaluation. J Oral MaxillofacSurg 2016; 74 (9): 1848.e1-1848.e14. doi: 10.1016/j.joms.2016.05.007.

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Otorrinolaringología. 2023;68