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. 2008 May;22(2):120-3.
doi: 10.1055/s-2008-1063571.

Dorsal augmentation rhinoplasty with irradiated homograft costal cartilage

Charles K Herman  1 , Berish Strauch
Affiliations

Dorsal augmentation rhinoplasty with irradiated homograft costal cartilage

Charles K Herman et al. Semin Plast Surg. 2008 May.

Abstract

Augmentation of the nasal framework requires a working knowledge of nasal and facial anatomy, as well as the principles of facial proportion and balance. Dorsal augmentation rhinoplasty is a valuable means of improving nasal appearance in patients with a low and/or concave nasal dorsum, obtuse nasofrontal angle, and low radix. It frequently is combined with other techniques, including columellar strut grafting, nasal tip grafting, and tip suturing, as dorsal deficiencies are often associated with poor tip projection and support and a shortened columella. Our experience with dorsal augmentation rhinoplasty, including the use of irradiated homograft costal cartilage for grafting in 56 surgeries, is described. A high level of patient satisfaction with a low percentage of complications has been seen.

Keywords: Dorsal augmentation; irradiated homograft costal cartilage; rhinoplasty.

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Figures

Figure 1
Figure 1
(A) Preoperative photograph of patient requiring dorsal augmentation. (B) Postoperative dorsal nasal augmentation with irradiated cartilage.
Figure 2
Figure 2
(A) Anteroposterior view of a patient with posttraumatic injury to the nose with loss of alar cartilages. (B) Lateral view of same patient. (C) Anteroposterior view, ten years after maxillary-columellar-tip graft, alar cartilage replacement, and small dorsal onlay graft, all with irradiated bone graft cartilage. (D) Lateral view of same patient 10 years after surgery.
See this image and copyright information in PMC

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