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Facial Plast Surg 2003; 19(1): 041-052
DOI: 10.1055/s-2003-39136
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Auricular Cartilage in Revision Rhinoplasty

Daniel G. Becker1 , Samuel S. Becker2 , Abdel Aziz Saad3
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA
  • 2Department of Otolaryngology, University of Virginia, Charlottesville, VA
  • 3Division of Facial Plastic and Reconstructive Surgery, Department of Otorhinolaryngology, University of Pennsylvania, Philadelphia, PA
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Publication History

Publication Date:
09 May 2003 (online)

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ABSTRACT

Revision rhinoplasty is a challenge in reconstruction to the rhinoplasty surgeon, both in the techniques of repair and the choice of implant material for augmentation grafting. Often, patients seeking revision or reconstructive rhinoplasty have previously undergone septoplasty with sacrifice of major amounts of septal cartilage. These situations confront the surgeon with the need for a decision about the material that will be used for structural grafting. The senior author follows the time-tested approach of generations of surgeons who have used exclusively autogenous material for nasal reconstruction because of its superior long-term survival characteristics, its ready availability in the head and neck region, its resistance to infection and resorption, and its bendability and flexibility when implanted in the nose. With this in mind, the subject of this article is the use of auricular cartilage in revision rhinoplasty. Careful strategic planning must be undertaken to get the maximal and ideal benefit from the auricular cartilage. The revision rhinoplasty surgeon must understand the anatomy of the external ear and must be able to manage the precious cartilage supply to get the maximum use of it in reconstructive rhinoplasty.

KEYWORDS

Revision rhinoplasty - auricular cartilage - autogenous implant - alloplasts

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