The Versatile Posterior Auricular Fascia in Secondary Rhinoplasty Procedures.
BACKGROUND
Secondary rhinoplasty often involves the addition of autogenous graft material to add volume, structure, support and to camouflage cartilage and bone grafts. A variety of fascias have been used to camouflage, wrap and give "fill" in secondary rhinoplasty. The posterior auricular fascia is a source of material ideal for such purposes, and its quantity, anatomical structure and ease of harvest with minimal donor site morbidity make it a versatile and attractive autogenous graft.


METHODS
The clinical records of patients receiving autogenous posterior auricular fascial grafts were reviewed. There were two main uses of this graft material, one was to cover the tip reconstruction in secondary rhinoplasties under thin tip skin. This is a camouflage graft. The second use is for fill and augmentation, especially for the nasal dorsum and as an interpostitional graft between the dorsum and the tip.


CONCLUSIONS
The posterior auricular fascial graft has many potential uses in secondary rhinoplasties and is readily harvested as a generous graft concurrent to conchal cartilage harvest and with a concealed scar behind the ear.


METHODS
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Double Bay Day Surgery, 20 Manning Road, Double Bay, Sydney, NSW, 2028, Australia. info@drhodgkinson.com.au.
Darryl James
DJ
Hodgkinson
Double Bay Day Surgery, 20 Manning Road, Double Bay, Sydney, NSW, 2028, Australia.
Pedro Miguel
PM
Valente
D054644:Ear Auricle / Q000601:surgery* / Q000637:transplantation; D004954:Esthetics; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006085:Graft Survival; D006801:Humans; D055171:Nasal Cartilages / Q000601:surgery; D017060:Patient Satisfaction; D012086:Reoperation / Q000379:methods*; D012225:Rhinoplasty / Q000009:adverse effects / Q000379:methods*; D012494:Sampling Studies; D020858:Tissue and Organ Harvesting / Q000379:methods; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D055815:Young Adult
Posterior auricular fascia; Secondary rhinoplasty; Tip camouflage