title: Controversies in Revision Rhinoplasty.
abstract: Revision rhinoplasty is a complex operation with many variables that may influence the final esthetic and functional outcome of the procedure. Cartilage forms the structural framework of the lower two-thirds of nose and is essential for long-term support and maintenance of a patent nasal airway. The use of autologous cartilage grafting is the primary source of this material, limited by donor site quantity, quality, and harvest morbidity. Alloplastic materials, solid and injectable, are often used for augmentation purposes and may have devastating consequences. This article discusses past and current treatment concepts for various nasal deformities using available autologous grafting techniques.
authors.affiliation: Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Illinois Chicago, 1855 West Taylor Street, Suite 387, Chicago, IL 60612, USA. Electronic address: erosenb3@uic.edu.
authors.forename: Eric S
authors.initials: ES
authors.lastname: Rosenberger
authors.affiliation: Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Illinois Chicago, 1855 West Taylor Street, Suite 387, Chicago, IL 60612, USA.
authors.forename: Dean M
authors.initials: DM
authors.lastname: Toriumi
mesh_terms: D002356:Cartilage / Q000637:transplantation; D006801:Humans; D019736:Prostheses and Implants; D012086:Reoperation / Q000379:methods*; D012225:Rhinoplasty / Q000379:methods*; D012272:Ribs; D013530:Surgical Wound Infection / Q000517:prevention & control; D014182:Transplantation, Autologous / Q000379:methods
keywords: Cartilage grafting; Dorsal augmentation; Nasal filler; Revision rhinoplasty