An algorithm for deciding alternative grafting materials used in secondary rhinoplasty

Acarturk S., Arslan E. , Demirkan F., Unal S.

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, vol.59, no.4, pp.409-416, 2006 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 59 Issue: 4
  • Publication Date: 2006
  • Doi Number: 10.1016/j.bjps.2005.05.023
  • Page Numbers: pp.409-416


Severe middle vault deformity with disturbed nasal form and function is one of the most challenging procedures to correct in a secondary rhinoplasty. Reconstructing the deformity with autologous septal cartilage would be the primary choice of most surgeons, if it were always available. However in certain cases the lack of a sufficient quantity of autologous cartilage has forced surgeons to explore other viable options. This paper discusses our experience with the combined use of spreader and dorsal onlay grafts from various materials in the reconstruction of severe middle vault deformity in 110 patients. In follow up, (between 6 and 42 months; mean 21 months) all patients were noted to have improved in both aesthetics and function with no major complications noted. In summary, this study proposes that any engrafting material can be used safety when the proper surgical principals and technique are employed. (C) 2005 The British Association of Plastic Surgeons. Published by Elsevier Ltd. All rights reserved.