Struktur-Transplantate und Nahttechniken in der funktionell-ästhetischen Rhinochirurgie

Zusammenfassung

Der Trend hin zur offenen Technik in der Rhinoplastik hat sich in den letzten Jahren stabilisiert. Mit diesem Trend geht ein vermehrter Einsatz von Transplantaten und Nahttechniken einher. Dabei ersetzen schonende Techniken zunehmend solche, die die Integrität des knorpeligen Nasenskeletts beeinträchtigen. Im vorliegenden Referat werden etablierte Transplantat- und Nahttechniken vorgestellt und anhand publizierter Daten kritisch beleuchtet. Vor- und Nachteile der offenen Platzierung werden denen des endonasalen Vorgehens gegenübergestellt.

Abstract

Structural Grafts and Suture Techniques in Functional and Aesthetic Rhinoplasty Surgery

Rhinoplasty has undergone important changes. With the advent of the open structure approach, requirements for structural grafting and suture techniques have increased substantially. The present review analyzes the current literature on frequently referenced structural grafts and suture techniques. Individual techniques are described and their utility is discussed and critically reviewed in light of available data.

Der Autor dankt Herrn Dr. me. Uwe Müller-Vogt und Herrn Prof. Dr. med. Thomas Kühnel für die gewissenhafte Korrektur des Schriftsatzes. Herrn Markus Voll für die Erstellung und der Firma Johnson und Johnson für die Finanzierung der Abbildungen.

Schlüsselwörter

Rhinoplastik - Knorpeltransplantate - Augmentation - Implantate - Nahttechniken - Nasenklappenkorektur

Key words

rhinoplasty - transplants - augmentation - implant - suture techniques - nasal valve

Literatur

• 1 Roche Lexikon, Urban Urban & Fischer Verlag (Herausgeber), 5. Auflage. Elsevier, München; 2006
• 2 Huizing EH, Mackay IS, Rettinger G. Reconstruction of the nasal septum and dorsum by cartilage transplants – autogeneic or allogeneic?.  Rhinology. 1989;  27 5-10
• 3 Helder AH, Huizing EH. Transplantation terminology in nasal surgery.  1986;  24 235-236
• 4 Tardy Jr ME, Denneny 3rd J, Fritsch MH. The versatile cartilage autograft in reconstruction of the nose and face.  Laryngoscope. 1985;  95 523-533
• 5 Gunter JP, Rohrich RJ. External approach for secondary rhinoplasty.  Plast Reconstr Surg. 1987;  80 161-174
• 6 Homicz MR, McGowan KB, Lottman LM, Beh G, Sah RL, Watson D. A compositional analysis of human nasal septal cartilage.  Arch Facial Plast Surg. 2003;  5 53-58
• 7 Westreich RW, Courtland HW, Nasser P, Jepsen K, Lawson W. Defining nasal cartilage elasticity: biomechanical testing of the tripod theory based on a cantilevered model.  Arch Facial Plast Surg. 2007;  9 264-270
• 8 Kim DW, Egan KK, O'Grady K, Toriumi DM. Biomechanical strength of human nasal septal lining: comparison of the constituent layers.  Laryngoscope.. 2005;  115 1451-1453
• 9 ten Koppel PG, van der Veen JM, Hein D, van Keulen F, van Osch GJ, Verwoerd-Verhoef HL, Verwoerd CD. Controlling incision-induced distortion of nasal septal cartilage: a model to predict the effect of scoring of rabbit septa.  Plast Reconstr Surg. 2003;  111 1948-1957
• 10 Murakami WT, Wong LW, Davidson TM. Applications of the biomechanical behavior of cartilage to nasal septoplastic surgery.  Laryngoscope.. 1982;  92 300-309 ds
• 11 Mischkowski RA, Domingos-Hadamitzky C, Siessegger M, Zinser MJ, Zöller JE. Donor-site morbidity of ear cartilage autografts.  Plast Reconstr Surg. 2008;  121 79-87
• 12 Murrell GL. Auricular cartilage grafts and nasal surgery.  Laryngoscope.. 2004;  114 2092-2102
• 13 Pirsig W, Pentz S, Lenders H. Repair of saddle nose deformity in Wegener's granulomatosis and ectodermal dysplasia.  Rhinology. 1993;  31 69-72
• 14 Koenig F. Zur Deckung von Defekten der Nasenflügel.  Berl. Klein. Wschr 1902;  39 137
• 15 Tardy ME, Toriumi D. Alar retraction: composite graft correction.  Facial Plast Surg. 1989;  Winter 6 101-107
• 16 Constantian MB. Indications and use of composite grafts in 100 consecutive secondary and tertiary rhinoplasty patients: introduction of the axial orientation.  Plast Reconstr Surg. 2002;  15; 110 1116-1133
• 17 Rettinger G, OŽConnell M. The nasal base in cleft lip rhinoplasty.  Facial Plast Surg.. 2002;  18 165-178
• 18 Jovanovic S, Berghaus A. Autogenous auricular concha cartilage transplant in corrective rhinoplasty. Practical hints and critical remarks.  Rhinology. 1991;  29 273-79
• 19 Juri J, Juri C, Elias JC. Ear cartilage grafts to the nose.  Plast Reconstr Surg. 1979;  63 377-382
• 20 Ortiz-Monasterio, F. The use of cartilage grafts in primary aesthetic rhinoplasty.  Plast Reconstr Surg. 1981;  67 597-605
• 21 Toriumi DM. Autogenous graft are worth the extra time.  Arch Otolaryngol Head Neck Surg. 2000;  126 562-564
• 22 Denecke HJ, Meyer R. Plastische Operationen an Kopf und Hals. Bd. 1.. Nasenplastik. Springer, Göttingen; 1964
• 23 Riechelmann H, Rettinger G. Three-step reconstruction of complex saddle nose deformities.  Arch Otolaryngol Head Neck Surg. 2004;  130 334-338
• 24 Congdon D, Sherris DA, Specks U, McDonald T. Long-term follow-up of repair of external nasal deformities in patients with Wegener's granulomatosis.  Laryngoscope.. 2002;  112 731-737
• 25 Gurley JM, Pilgram T, Perlyn CA, Marsh JL. Long-term outcome of autogenous rib graft nasal reconstruction.  Plast Reconstr Surg.. 2001;  108 1895-1905
• 26 Romo T, Jablonski RD. Nasal reconstruction using pslit clvarial grafts.  Otolaryngol Head Neck Surg. 1992;  107 622-630
• 27 Shipchandler TZ. Saddle nose deformity reconstruction with a split calvarial bone L-shaped strut.  Arch Facial Plast Surg. 2008;  10 305-311
• 28 Sarnat BG, Laskin DM. Cartilage and cartilage implants.  Int Abstracts Surg.. 1954;  99 521-541
• 29 Rasi HB. The fate of preserved human cartilage.  Plast Reconstr Surg.. 1959;  24 24-33
• 30 Muhlbauer WD, Schmidt-Tintenmann U, Glaser M. Long-term behavior of preserved homologous rib cartilage in the correction of saddle nose deformity.  Br J Plast Surg.. 1971;  24 325-333
• 31 Mikhelson NM. Homogenous cartilage in maxillofacial surgery.  Acta Chir Plast.. 1962;  4 192-196
• 32 Guyuron B, Friedman A. The role of preserved autogenous cartilage graft in septorhinoplasty.  Ann Plast Surg.. 1994;  32 255-260
• 33 Pruß A, Katthagen B-D. Muskuloskelettale Gewebebanken.  Orthopäde. 2008;  3 ((37)) 749-755
• 34 Swanepoel PF, Fysh R. Laminated dorsal beam graft to eliminate postoperative twisting complications.  Arch Facial Plast Surg. 2007;  9 285-289
• 35 Sclafani AP, Romo T, Jacono AA, McCormick S, Cocker R, Parker A. Evaluation of acellular dermal graft in sheet (AlloDerm) and injectable (micronized AlloDerm) forms for soft tissue augmentation. Clinical observations and histological analysis.  Arch Facial Plast Surg.. 2000;  2 130-136
• 36 Berghaus A, Stelter K. Alloplastic materials in rhinoplasty.  Curr Opin Otolaryngol Head Neck Surg. 2006;  14 270-277
• 37 Hwang K, Hwang JH, Park JH, Kim DJ, Shin YH. Experimental study of autologous cartilage, acellular cadaveric dermis, lyophilized bovine pericardium, and irradiated bovine tendon: applicability to nasal tip plasty.  J Craniofac Surg.. 2007 May;  18 ((3)) 551-558
• 38 Gryskiewicz JM. Waste not, want not: the use of AlloDerm in second-ary rhinoplasty.  Plast Reconstr Surg. 2005;  116 1999-2004
• 39 Tobin HA, Karas NK. Lip augmentation using an alloderm graft.  Ann Plast Surg. 1998;  41 503-507
• 40 Sherris DA. Personal communication. 
• 41 Jasso-Victoria R, Olmos-Zuñiga JR, Gutierrez-Marcos LM, Sotres-Vega A, Manjarrez Velazquez JR, Gaxiola-Gaxiola M, Avila-Chavez A, Avendaño Moreno G, Santillan-Doherty P. Usefulness of bovine pericardium as interpositional graft in the surgical repair of nasal septal perforations (experimental study).  J Invest Surg. 2003;  16 209-217
• 42 Hwang K, Hwang JH, Park JH, Kim DJ, Shin YH. Experimental study of autologous cartilage, acellular cadaveric dermis, lyophilized bovine pericardium, and irradiated bovine tendon: applicability to nasal tip plasty.  J Craniofac Surg.. 2007;  18 551-558
• 43 Straith RE. Five long-term case reports (average 15 years) of saddlenose correction using cast Silastic implants.  Plast Reconstr Surg.. 1991;  88 1064-1075
• 44 Adams JS. Grafts and implants in nasal and chin augmentation. A rational approach to material selection.  Otolaryngol Clin North Am.. 1987;  20 913-930
• 45 Clark JM, Cook TA. Immediate reconstruction of extruded alloplastic nasal implants with irradiated homograft costal cartilage.  Laryngoscope.. 2002;  112 968-974
• 46 Tham C, Lai YL, Weng CJ. et al . Silicone augmentation rhinoplasty in an Oriental population.  Ann Plast Surg. 2005;  54 1-7
• 47 Peled ZM, Warren AG, Johnston P, Yaremchuk MJ. The use of alloplastic materials in rhinoplasty surgery: a meta-analysis.  Plast Reconstr Surg.. 2008 Mar;  121 ((3)) e85-e92
• 48 Rothstein SG, Jacobs JB. The use of Gore-Tex implants in nasal augmentation operations.  ENTechnology. 1989;  40,42 40-45
• 49 Stoll W. The use of polytetrafluoroethylene for particular augmentation of the nasal dorsum.  Aesth Plast Surg. 1991;  15 233-236
• 50 Hanel KC, McCabe C, Abbott WM, Fallon J, Megerman J. Current PTFE grafts: a biomechanical, scanning electron, and light microscopic evaluation.  Ann Surg.. 1982;  195 456-463
• 51 Bauer JJ, Salky BA, Gelernt IM, Kreel I. Repair of large abdominal wall defects with expanded polytetrafluoroethylene (PTFE).  Ann Surg.. 1987;  206 765-769
• 52 Jung YG, Kim HY, Dhong HJ, Park KN, Lee HJ, Lim YJ, Min JY. Ultrasonographic monitoring of implant thickness after augmentation rhinoplasty with expanded polytetrafluoroethylene.  Am J Rhinol Allergy. 2009Feb;  23 105-110
• 53 Conrad K, Gillman G. A 6-year experience with the use of expanded polytetrafluoroethylene in rhinoplasty.  Plast Reconstr Surg. 1998;  101 1675-1683
• 54 Godin M, Waldman SR, Johnson CM. Nasal augmentation using Gore-Tex: a 10 year experience.  Arch Facial Plast Surg. 1999;  1 118-121
• 55 Ham J, Miller PJ. Expanded polytetrafluoroethylene implants in rhinoplasty: literature review, operative techniques, and outcome.  Facial Plast Surg.. 2003;  19 331-339
• 56 Fanous N, Samaha M, Yoskovitch A. Dacron implants in rhinoplasty: a review of 136 cases of tip and dorsum implants.  Arch Facial Plast Surg.. 2002;  4 149-156
• 57 Fanous N. Mersilene tip implants in rhinoplasty: a review of 98 cases.  Plast Reconstr Surg. 1991;  87 662-673
• 58 Wellisz T. Clinical experience with the Medpor porous polyethylene implant.  Aesthetic Plast Surg. 1993;  Fall 17 ((4)) 339-344
• 59 Berghaus A. Porous polyethylene in reconstructive head and neck surgery.  Arch Otolaryngol Head Neck Surg. 1985;  111 154-160
• 60 Neel HB. Implants of Gore-Tex: comparisons with Teflon-coated polytetraflourethylene carbon and porous polyethylene implants.  Arch Otolaryngol. 1983;  109 427-433
• 61 Romo T, Sclafani A, Sabini P. Use of porous high-density polyethylene in revision rhinoplasty and in the platyrrhine nose.  Aesthetic Plast Surg. 1998;  22 211-221
• 62 Gurlek A, Celik M, Fariz A. et al . The use of high-density porous polyethylene as a custom-made nasal spreader graft.  Aesthetic Plast Surg. 2006;  30 34-41
• 63 Mendelsohn M. Straightening the crooked middle third of the nose: using porous polyethylene extended spreader grafts.  Arch Facial Plast Surg. 2005;  7 74-80
• 64 Cenzi R, Farina A, Zuccarino L, Carinci F. Clinical outcome of 285 Medpor grafts used for craniofacial reconstruction.  J Craniofac Surg. 2005;  16 526-530
• 65 Peled ZM, Warren AG, Johnston P, Yaremchuk MJ. The use of alloplastic materials in rhinoplasty surgery: a meta-analysis.  Plast Reconstr Surg.. 2008;  121 85e-92e
• 66 Toriumi DM. New concepts in nasal tip contouring.  Arch Fac Plast Surg. 2006;  ((8)) 156-185
• 67 Toriumi DM. Caudal septal extension graft for the correction of the retracted columella.  Op Tech Otolaryngol Head Neck Surg. 1995;  6 311-318
• 68 Tebbetts JB. Primary Rhinoplasty: A New Approach to the Logic and the Techniques. 1st ed.. St. Louis: Mosby; 1998: 458-460
• 69 Guyuron B, Varghai A. Lengthening the nose with a tongue and groove technique.  Plast Reconstr Surg. 2003;  111 1533e9
• 70 Han K, Jin HS, Choi TH, Kim JH, Son D. A biomechanical comparison of vertical figure-of-eight locking suture for septal extension grafts.  J Plast Reconstr Aesthet Surg. 2008;  6
• 71 Rohrich RJ, Raniere Jr J, Ha RY. The alar contour graft: correction and prevention of alar rim deformities in rhinoplasty.  Plast Reconstr Surg.. 2002;  109 2495-2505
• 72 Toriumi DM. Structure approach in rhinoplasty.  Facial Plast Surg Clin North Am. 2005;  13 93-113
• 73 Gruber RP, Kryger G, Chang D. The intercartilaginous graft for actual and potential alar retraction.  Plast Reconstr Surg.. 2008;  121 e288-e296
• 74 Gruber RP, Kryger G, Chang D. The intercartilaginous graft for actual and potential alar retraction.  Plast Reconstr Surg. 2008 May;  121 ((5)) e288-e296
• 75 [Millman B. Alar batten grafting for management of the collapsed nasal valve.  Laryngoscope. 2002;  112 574-579
• 76 Toriumi DM, Josen J, Weinberger M, Tardy ME. Use of alar batten grafts for correction of nasal valve collapse.  Arch Otolaryngol Head Neck Surg. 1997;  123 802-808
• 77 Becker DG, Becker SS. Treatment of nasal obstruction from nasal valve collapse with alar batten grafts.  J Long Term Eff Med Implants. 2003;  13 ((3)) 259-269
• 78 Gassner H, Strutz J. Plastische und wiederherstellende Chirurgie.. Strutz J, Mann (Eds.), 2nd Edition Thieme Stuttgart – New York;
• 79 Gunter JP, Friedman RM. Lateral crural strut graft: technique and clinical applications in rhinoplasty.  Plast Reconstr Surg. 1997;  99 943-952
• 80 André RF, D'Souza AR, Kunst HP, Vuyk HD. Sub-alar batten grafts as treatment for nasal valve incompetence; description of technique and functional evaluation.  Rhinology.. 2006;  44 118-122
• 81 Gassner H, Strutz J. Plastische und wiederherstellende Chirurgie.. Strutz J, Mann (Eds.), 2nd Edition Thieme Stuttgart – New York;
• 82 Clark JM, Cook TA. The ‘butterfly’ graft in functional secondary rhinoplasty.  Laryngoscope. 2002;  112 1917-1925
• 83 Friedman O, Cook TA. Conchal cartilage butterfly graft in primary functional rhinoplasty.  Laryngoscope. 2009;  119 255-262
• 84 Berghaus A. Personal communication.  Sep 2009; 
• 85 A Wengen D. Personal communication.  Aug 2009; 
• 86 Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty.  Plast Reconstr Surg. 1984;  73 230-239
• 87 Sherris DA. Caudal and dorsal septal reconstruction: an algorithm for graft choices.  Am J Rhinol. 1997;  11 457-466
• 88 Mendelsohn M. Straightening the crooked middle third of the nose: using porous polyethylene extended spreader grafts.  Arch Facial Plast Surg. 2005;  7 74-80
• 89 Stal S, Hollier L. The use of resorbable spacers for nasal spreader grafts.  Plast Reconstr Surg. 2000;  106 922-928
• 90 Byrd HS, Meade RA, Gonyon Jr DL. Using the autospreader flap in primary rhinoplasty.  Plast Reconstr Surg. 2007;  119 1897-1902
• 91 André RF, Paun SH, Vuyk HD. Endonasal spreader graft placement as treatment for internal nasal valve insufficiency: no need to divide the upper lateral cartilages from the septum.  Arch Facial Plast Surg. 2004;  6 36-40
• 92 Dyer WK. Nasal tip support and its surgical modification.  Facial Plast Surg Clin North Am. 2004;  12 1-13
• 93 Alsarraf Rl, Murakami CS. The Saddle Nose Deformity.  Facial Plast Surg Clin North Am. 1999;  7 ((3)) 3030-3310
• 94 Gassner HG, Friedman O, Sherris DA, Kern EB. An alternative method of middle vault reconstruction.  Arch Facial Plast Surg. 2006;  8 432-435
• 95 Behrbohm H, Briedigkeit W, Kaschke O. Jacques Joseph: father of modern facial plastic surgery.  Arch Facial Plast Surg. 2008;  10 300-303
• 96 Kamer FM, Churukian MM. Shield graft for the nasal tip.  Arch Otolaryngol.. 1984;  110 608-610
• 97 Toriumi DM. New concepts in nasal tip contouring.  Arch Facial Plast Surg. 2006;  8 156-185
• 98 Whitaker EG, Johnson Jr CM. The evolution of open structure rhinoplasty.  Arch Facial Plast Surg. 2003;  5 291-300
• 99 Zijlker TD, Vuyk H. Cartilage grafts for the nasal tip.  Clin Otolaryngol Allied Sci. 1993;  18 446-458
• 100 Pastorek NJ, Bustillo A, Murphy MR, Becker DG. The extended columellar strut-tip graft.  Arch Facial Plast Surg. 2005;  7 176-84
• 101 Toriumi DM. New concepts in nasal tip contouring.  Arch Facial Plast Surg. 2006;  8 156-185
• 102 Miller TA. Temporalis fascia grafts for facial and nasal contour augmentation.  Plast Reconstr Surg. 1988;  81 524-533
• 103 Guerrerosantos J. Temporoparietal free fascia grafts in rhinoplasty.  Plast Reconstr Surg.. 1984;  74 465-475
• 104 Baker TM, Courtiss EH. Temporalis fascia grafts in open secondary rhinoplasty.  Plast Reconstr Surg.. 1994;  93 802-810
• 105 Gassner HG, Rafii A, Young A, Murakami C, Moe KS, Larrabee Jr WF. Surgical anatomy of the face: implications for modern face-lift techniques.  Arch Facial Plast Surg. 2008;  10 9-19
• 106 Davis RE, Wayne I. Rhinoplasty and the Nasal SMAS Augmentation Graft.  Arch Facial Plast Surg. 2004;  6 124-132
• 107 Verwoerd-Verhof HL. et al . Histologic evaluation of crushed cartilage grafts in the growing nasal septum in young rabbits.  ORL J Otorhinolaryngol Relat Spec. 1991;  53 305-309
• 108 Huizing EH. Implantation and transplantation in reconstructive nasal surgery.  Rhinology. 1974;  12 93-106
• 109 Breadon GE, Kern EB, Neel BH. Autografts of uncrushed and crushed bone and cartilage: experimental observations and clinical implications.  Arch Otolaryngol. 1979;  105 75-80
• 110 Rudderman RH, Guyuron B, Mendelsohn G. The fate of noncrushed and crushed bone and autogenous cartilage in the rabbit model.  Ann Plast Surg. 1994;  32 255-260
• 111 Guyuron B, Friedman A. The role of preserved autogenous cartilage graft in septorhinoplasty.  Ann Plast Surg. 1994;  32 255-260
• 112 Cakmak O, Buyuklu F, Yilmaz Z, Sahin FI. et al . Viability of cultured human nasal septum chondrocytes after crushing.  Arch Facial Plast Surg. 2005;  7 406-409
• 113 Cakmak O, Buyuklu F. Crushed cartilage grafts for concealing irregularities in rhinoplasty.  Arch Facial Plast Surg. 2007;  9 352-357
• 114 Parker Porter J. Grafts in rhinoplasty: allogenic vs autogenous.  Arch Otolaryngol Head Neck Surg. 2000;  126 ((4)) 558-561
• 115 Ishida LC, Ishida J, Henrique Ishida L, Passos AP, Vieira JC, Ferreira MC. Total reconstruction of the alar cartilages with a partially split septal cartilage graft.  Ann Plast Surg. 2000;  45 481-484
• 116 Tarhan E, Cakmak O, Ozdemir BH, Akdogan V. et al . Comparison of AlloDerm, fat, fascia, cartilage, and dermal grafts in rabbits.  Arch Facial Plast Surg. 2008;  10 187-193
• 117 Cakmak O, Buyuklu F. Crushed cartilage grafts for concealing irregularities in rhinoplasty.  Arch Facial Plast Surg. 2007;  9 352-357
• 118 Peer LA. Diced cartilage grafts.  Arch Otolaryngol. 1943;  28 196
• 119 Erol OO. The Turkish delight: A pliable graft for rhinoplasty.  Plast Reconstr Surg. 2000;  105 2229
• 120 Hifzi Velidedeoğlu, Zühtü Demir, Ünal Sahin, Atilla Kurtay Ö, Onur Erol MD. Block and Surgicel-Wrapped Diced Solvent-Preserved Costal Cartilage Homograft. Application for Nasal Augmentation.  Plast Reconstr Surg. 2005;  115 2081-2093
• 121 Daniel RK, Calvert JW. Diced cartilage grafts in rhinoplasty surgery.  Plast Reconstr Surg. 2004;  113 2156-2171
• 122 Gibson T. Cartilage grafts.  Br Med. Bull. 1965;  21 153
• 123 Harris S, Pan Y, Peterson R, Stal S, Spira M. Cartilage warping: an experimental model.  Plast Reconstr Surg. 1993;  92 912-915
• 124 Adams Jr WP, Rohrich RJ, Gunter JP, Clark CP, Robinson Jr JB. The rate of warping in irradiated and nonirradiated homograft rib cartilage: a controlled comparison and clinical implications.  Plast Reconstr Surg. 1999;  103 265-270
• 125 Lopez MA, Shah AR, Westine JG, O'Grady K, Toriumi DM. Analysis of the physical properties of costal cartilage in a porcine model.  Arch Facial Plast Surg. 2007;  9 35-39
• 126 Kim DW, Shah AR, Toriumi DM. Concentric and eccentric carved costal cartilage: a comparison of warping.  Arch Facial Plast Surg. 2006;  8 42-46
• 127 Sherris DA, Kern EB. The versatile autogenous rib graft in septorhinoplasty.  Am J Rhinol. 1998;  12 221-227
• 128 Congdon D. Long-term follow-up of repair of external nasal deformities in patients with WegenerŽs granulomatosis.  Laryngoscope. 2002;  112 731-737
• 129 Murakami CS, Cook TA, Guida RA. Nasal reconstruction with articulated irradiated rib cartilage.  Arch Otolaryngol Head Neck Surg. 1991;  117 327-330
• 130 Adams Jr WP, Rohrich RJ, Gunter JP, Clark CP, Robinson Jr JB. The rate of warping in irradiated and nonirradiated homograft rib cartilage: a controlled comparison and clinical implications.  Plast Reconstr Surg. 1999;  103 265-270
• 131 Emsen IM, Benlier E. Autogenous calvarial bone graft versus reconstruction with alloplastic material in treatment of saddle nose deformities: a two-center comparative study.  J Craniofac Surg. 2008 Mar;  19 ((2)) 466-475
• 132 Friedman E, Perez-Atayde AR, Silvera M, Jonas RA. Growth of tracheal anastomoses in lambs. Comparison of PDS and Vicryl suture material and interrupted and continuous techniques.  J Thorac Cardiovasc Surg. 1990;  100 188-193
• 133 Behrend M, Kluge E, Schüttler W, Klempnauer J. A comparison of interrupted and continuous sutures for tracheal anastomoses in sheep.  Eur J Surg. 2002;  168 ((2)) 101-106
• 134 A review of absorbable suture materials in head & neck surgery and introduction of monocryl: a new absorbable suture.  Ear Nose Throat J. 1995;  74 409-415
• 135 Bloom BS, Goldberg DJ. Suture material in cosmetic cutaneous surgery.  J Biomed Mater Res. 1968;  2 215-230
• 136 Homsy CA, McDonald KE, Akers WW, Short C, Freeman BS. Surgical suture-canine tissue interaction for six common suture types.  J Biomed Mater Res. 1968;  2 215-230
• 137 Tomihata K, Suzuki M, Ikada Y. The pH dependence of monofilament sutures on hydrolytic degradation.  J Biomed Mater Res. 2001;  58 ((5)) 511-518
• 138 Joseph J. Nasenplastik und sonstige Gesichtsplastik, nebst einem Anhang über Mammaplastik und einige weitere Operationen aus dem Gebiete der äußeren Körperplastik.. Ein Atlas und Lehrbuch. Curt Kabitzsch, Leipzig; 1931
• 139 Rethi A. Operation to shorten an excessively long nose.  Rev Chir Plast. 1934;  2 85-87
• 140 Kridel RWH, Scott BA, Foda HMT. The tongue-in-groove-technique in septorhinoplasty: a 10-year experience.  Arch Facial Plast Surg.. 1999;  1 246-256
• 141 Toriumi DM. Structure approach in rhinoplasty.  Facial Plast Surg Clin North Am. 2005;  13 93-113
• 142 Guyuron B, Behmand RA. Nasal Tipp sutures part II: The interplays.  Plast Reconstr Sur. Sep 2003; 
• 143 Park SS. The flaring suture to augment the repair of the dysfunctional nasal valve.  Plast Reconstr Surg. 1998;  101 1120-1122
• 144 Schlosser RJ, Park SS. Functional nasal surgery.  Otolaryngol Clin North Am. 1999;  32 37-51
• 145 Schlosser RJ, Park SS. Surgery for the dysfunctional nasal valve. Cadaveric analysis and clinical outcomes.  Arch Facial Plast Surg. 1999;  1 105-110
• 146 Paniello RC. Nasal valve suspension: an effective treatment for nasal valve collapse.  Arch Otolaryngol Head Neck Surg. 1996;  122 1342-1346
• 147 Nuara MJ. Nasal valve suspension revisited.  Laryngoscope. 2007;  117 2100-2106
• 148 Roofe SB, Most SP. Placement of a lateral nasal suspension suture via an external rhinoplasty approach.  Arch Facial Plast Surg. 2007;  9 214-216
• 149 Guyuron B, Behmand RA. Nasal tip sutures part II: the interplays.  Plast Reconstr Surg. 2003;  15;112 1130-1145
• 150 Toriumi DM, Checcone MA. New concepts in nasal tip contouring.  Facial Plast Surg Clin North Am. 2009;  17 55-90
• 151 Perkins S, Patel A. Endonasal suture techniques in tip rhinoplasty.  Facial Plast Surg Clin North Am. 2009;  17 41-54
• 152 Guyuron B, Behmand RA. Nasal tip sutures part II: the interplays.  Plast Reconstr Surg. 2003;  15;112 1130-1145
• 153 Tebbetts JB. Shaping and positioning the nasal tip without structural disruption: A new systematic approach.  Plast Reconstr Surg. 1994;  94 61
• 154 Tezel E, Numanoglu A. suture in closed rhinoplasty.  Ann Plast Surg. 2007;  59 268-272
• 155 Janis JE. Lower lateral crural turnover flap in open rhinoplasty.  Plast Reconstr Surg. 2009;  123 1830-1841
• 156 Larrabee WF. More science – please.  Arch Facial Plast Surg. 2008;  10 8
• 157 Scheithauer M, Schulz M, Rettinger G. Qualität und Akzeptanz der Kolumella-Narbe nach offener Septorhinoplastik. 80.  Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohrenheilkunde, Kopf-und Halschirurgie, 20.–24. Mai, Rostock. 
• 158 Gassner HG, Remington WJ, Sherris DA. Quantitative study of nasal tip support and the effect of reconstructive rhinoplasty.  Arch Facial Plast Surg. 2001;  3 178-184

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