Secondary rhinoplasty and the use of autogenous rib cartilage grafts.
Postoperative rhinoplasty deformities--such as displacement or distortion of anatomic structures, inadequate surgery resulting in under-resection of the nasal framework, or over-resection caused by overzealous surgery--require a secondary rhinoplasty. Success in secondary rhinoplasty, therefore, relies on an accurate clinical diagnosis and analysis of the nasal deformities, a thorough operative plan to address each abnormality, and a meticulous surgical technique. Septal cartilage is the grafting material of choice for rhinoplasty; however, auricular cartilage and rib cartilage are used in secondary rhinoplasty. This article discusses the steps involved in the external approach to secondary rhinoplasty.
Cochran
C Spencer
CS
Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75390, USA. drcochran@gunter-center.com
Gunter
Jack P
JP
D002356:Cartilage / Q000637:transplantation*; D006801:Humans; D009667:Nose Deformities, Acquired / Q000601:surgery*; D012086:Reoperation; D012225:Rhinoplasty / Q000379:methods*; D012272:Ribs / Q000637:transplantation*; D014182:Transplantation, Autologous