Tutoplast-processed fascia lata for dorsal augmentation in rhinoplasty.
OBJECTIVE
Tutoplast-processed fascia lata (TPFL) is a commercially available homograft, which has been successfully used as human graft tissue for physical support procedures. The present report evaluates the use of TPFL in rhinoplasty.


METHODS
The study involved a retrospective analysis of rhinoplasty cases using TPFL. The study population consisted of 69 patients (52 male and 17 female) and a minimum follow-up of 12 months.


RESULTS
TPFL was used as a smoothening graft after correction of deviated and hump noses, as a major dorsal contouring graft for saddle or flat noses, and in secondary rhinoplasty following silicone implant complications. TPFL alone was used in 41 cases and in combination with other material in 28 cases. The only complication was major resorption in three cases, with two being secondary rhinoplasty patients.


CONCLUSIONS
TPFL alone or in combination with other materials can be used as a dorsal augmentation material in rhinoplasty. TPFL was particularly useful for correction of dorsal irregularities and in cases requiring a minimal amount of augmentation.
Jang
Yong Ju
YJ
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. jangyj@amc.seoul.kr
Wang
Jong Hwan
JH
Sinha
Vikas
V
Song
Hyung Min
HM
Lee
Bong-Jae
BJ
D000293:Adolescent; D000328:Adult; D001672:Biocompatible Materials; D018786:Bone Substitutes / Q000627:therapeutic use; D016025:Bone Transplantation; D002356:Cartilage / Q000637:transplantation; D002648:Child; D005206:Fascia Lata / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000002:abnormalities; D009667:Nose Deformities, Acquired / Q000601:surgery; D011138:Polytetrafluoroethylene; D012086:Reoperation; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D012828:Silicones / Q000627:therapeutic use; D014021:Tissue Preservation / Q000379:methods; D014184:Transplantation, Homologous
D001672:Biocompatible Materials; D018786:Bone Substitutes; D012828:Silicones; D011138:Polytetrafluoroethylene