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Arch Otolaryngol Head Neck Surg. 2006 Nov;132(11):1183-8.

Total skeletal reconstruction of the nasal dorsum.

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  • 1The Stuart Clinic, Chatswood, New South Wales, Australia.

Abstract

OBJECTIVE:

To review the outcomes of rhinoplasty in patients who underwent full-length dorsal reconstruction.

DESIGN:

Retrospective review.

SETTING:

Private-practice facial plastic surgery clinic. Patients Thirty-seven patients in a consecutive series of 1273 rhinoplasty cases.

INTERVENTIONS:

In all patients, a single high-density porous polyethylene implant was used to span the full length of the nasal bridge as part of their rhinoplasty reconstruction.

MAIN OUTCOME MEASURES:

Retrospective review of medical charts and preoperative and postoperative photographs to identify any complications, including infection, extrusion, movement, or displacement, and examination of the aesthetic outcome. A telephone survey was performed to assess patient satisfaction regarding the appearance and sensation of the nose.

RESULTS:

In all cases, the full-length dorsal implant provided a smooth bridge contour without leaving an inverted V deformity or focal irregularities. There were no cases of infection or extrusion. In 2 cases, revision surgery was required to enhance cosmetic outcome.

CONCLUSIONS:

The high rate of patient acceptance, safety, and success of full-length dorsal reconstruction in providing a natural frontal contour challenges the minimal indications for using this type of reconstruction as opposed to using smaller grafts. As with all alloplasts, long-term follow-up is required.

PMID:
17116812
[PubMed - indexed for MEDLINE]
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