title: Augmentation rhinoplasty with a combination of triple cartilage grafts for secondary rhinoplasty in a middle-aged population.
abstract: Because of physiologic changes with advancing age as well as previously traumatized and then healed tissues, secondary rhinoplasty for a middle-aged patient is a challenging procedure. Depending on both factors, changes in the midvault can cause a functional airway disorder, and the nose also may need a complete correction for cosmetic purposes. To achieve aesthetic and functional outcomes, augmentation rhinoplasty using a combination of triple cartilage grafts, namely, spreader, columellar, and dorsal onlays, was performed for 12 patients. Sufficient nasal airways with satisfactory appearance were achieved for 11 of 12 patients. Only one patient had improved but still insufficient nasal function with a good aesthetic result. Augmentation rhinoplasty using a combination of triple cartilage grafts for middle-aged patients could be considered an effective procedure for improving the patient's nasal airway and appearance.
authors.affiliation: Mersin University Medical School, Plastic and Reconstructive Surgery, Zeytinliabahce Cad., Mersin, Turkey. arslane@mersin.edu.tr
authors.forename: Emrah
authors.initials: E
authors.lastname: Arslan
authors.forename: Sakir
authors.initials: S
authors.lastname: Unal
authors.forename: Ferit
authors.initials: F
authors.lastname: Demirkan
authors.forename: Onur
authors.initials: O
authors.lastname: Gurbuz
authors.forename: Volkan
authors.initials: V
authors.lastname: Beden
mesh_terms: D000367:Age Factors; D016025:Bone Transplantation; D002356:Cartilage / Q000637:transplantation*; D004954:Esthetics; D006801:Humans; D008875:Middle Aged; D009295:Nasal Bone / Q000601:surgery*; D009296:Nasal Cavity / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000009:adverse effects / Q000379:methods*; D013997:Time Factors; D014421:Turkey