The Auricular Cartilage in 197 Secondary and Tertiary Rhinoplasties

J Craniofac Surg. 2016 Mar;27(2):339-44. doi: 10.1097/SCS.0000000000002380.

Abstract

Background: The purpose of this study was to describe and evaluate the efficacy of the use of auricular cartilage to treat aesthetic and functional deformities of patients who underwent secondary rhinoplasty o tertiary.

Methods: From July 2005 to July 2014, 197 patients (144 women and 53 men) underwent rhinoplasty with the use of cartilage grafts. A total of 137 patients (70%) underwent secondary rhinoplasty, 60 patients (30%) underwent tertiary rhinoplasty. Patients in whom the Cottle maneuver was positive (108 patients, 55%) underwent a rhinomanometry test and responded to a simple questionnaire that reported on their nasal patency. Patients were evaluated at 6, 12, 24 months after surgery.

Results: The results of this study revealed an effective correction of aesthetic deformities of patients and a significant improvement in airway patency in 108 patients with respiratory obstruction. No major complication was observed.

Conclusions: The use of auricular cartilage graft is efficacy to solve aesthetic and functional remnants after an incorrect procedure, or primary or secondary.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cartilage / transplantation*
  • Esthetics
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nasal Obstruction / surgery
  • Postoperative Complications / surgery*
  • Reoperation
  • Rhinomanometry
  • Rhinoplasty / methods*
  • Surveys and Questionnaires
  • Treatment Outcome
  • Young Adult