Dorsal Augmentation of Saddle Nose Deformity With Toothpick-Shaped Costal Cartilage Grafts in the Secondary Septorhinoplasty

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dc.contributor.authorCevizci, Rasit
dc.contributor.authorBezgin, Selin Ustun
dc.contributor.authorCakir, Burak Omur
dc.contributor.authorKersin, Burak
dc.contributor.authorBayazit, Yildirim Ahmet
dc.date.accessioned2024-03-13T10:35:34Z
dc.date.available2024-03-13T10:35:34Z
dc.date.issued2017
dc.departmentİstanbul Beykent Üniversitesien_US
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.en_US
dc.identifier.doi10.1097/SCS.0000000000004032
dc.identifier.endpage2065en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue8en_US
dc.identifier.pmid28953158en_US
dc.identifier.scopus2-s2.0-85047313359en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage2063en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000004032
dc.identifier.urihttps://hdl.handle.net/20.500.12662/4488
dc.identifier.volume28en_US
dc.identifier.wosWOS:000415085100079en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal Of Craniofacial Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCostal cartilageen_US
dc.subjectnasal dorsal augmentationen_US
dc.subjectsaddle nose deformityen_US
dc.subjectseptorhinoplastyen_US
dc.titleDorsal Augmentation of Saddle Nose Deformity With Toothpick-Shaped Costal Cartilage Grafts in the Secondary Septorhinoplastyen_US
dc.typeArticleen_US

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