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Arch Otolaryngol Head Neck Surg. 1991 Mar;117(3):327-30; discussion 331.

Nasal reconstruction with articulated irradiated rib cartilage.

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  • 1Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine, Seattle.

Abstract

Nasal structural reconstruction is a formidable task in cases where there is loss of support to both the nasal dorsum and tip. A multitude of surgical approaches and materials have been used for the correction of the saddle-nose deformity with varying degrees of success. Articulated irradiated rib cartilage inserted through an external rhinoplasty approach was used to reconstruct nasal deformities in 18 patients over a 6-year period. Simultaneous use of a midline forehead flap to reconstruct the overlying soft tissue was required in four cases. Follow-up ranged from 1 to 6 years (mean, 2.8 years). Results were rewarding in most cases with marked improvement in nasal support and airway. Revision and/or replacement secondary to trauma or warping of the graft was required in four cases. None of the patients exhibited infection, extrusion, or noticeable resorption. A description of the surgical technique, review of all the cases, and recommendation for continued use of this graft material are discussed.

PMID:
1998573
[PubMed - indexed for MEDLINE]
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