The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
Reconstruction of Saddle Nose Deformity With Three-Dimensional Costal Cartilage Graft
Abstract
Saddle nose deformity is characterized by depression of the nasal bone and the cartilage dorsum associated with a collapse in the upper lateral and alar cartilages. Etiopathogenesis usually involves trauma or invasive excision of the bone and cartilage. Surgical treatment for functional and aesthetic recovery relies on the use of grafts. Options for grafting include autogenous tissue such as bone or cartilage and alloplastic augmentation. Nine patients with saddle nose deformity underwent surgical reconstruction with autogenous costal cartilage. The deformity was the result of trauma in seven patients and secondary to surgery in two patients. Cartilage obtained from the sixth and seventh ribs was used as the graft material to compensate for the low nasal dorsum. Cartilage was used as a single unit and shaped to cover the nasal dorsum and the lateral nasal walls completely. The upper lateral cartilages were fixed to shaped cartilage graft. Additional cartilage grafts into the columella and septum were also placed in all patients. Functional and aesthetic outcome was satisfactory in all patients. As a result, using costal cartilage graft, a single unit allowed more predictable and reliable reconstruction of the saddle nose deformity than the conventional dorsal grafts.
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Cites
The distortion of autogenous cartilage grafts: Its cause and prevention.
Gibson, T., & Davis, W. B. (1957) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(57)80042-3 · Cited by 451 · cited 1×
“Gibson and Davis suggested that rib cartilage is ideal for nasal reconstruction only when warping is prevented.(14) Although the mechanisms responsible for warping of cartilage grafts are not clear, distortion of the grafts by soft tissue fibrosis, partial graft resorption, and failure to detect warping in the early p…”
BackgroundAutogenous Bone Grafts Taken from the Calvarium for Facial and Cranial Applications
Tessier, P. L. (1982) · Clinics in Plastic Surgery · doi:10.1016/s0094-1298(20)31944-1 · Cited by 437
Gunter, J. P., Clark, C. P., & Friedman, R. M. (1997) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-199707000-00026 · Cited by 240
Vuyk, & Adamson (1998) · Clinical Otolaryngology · doi:10.1046/j.1365-2273.1998.00133.x · Cited by 99
Segmental Bone and Cartilage Reconstruction of Major Nasal Dorsal Defects
Neu, B. R. (2000) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200007000-00032 · Cited by 54
Reconstruction of Saddle Nose Deformities Using Porous Polyethylene Implant
Türegün, M., engezer, M., & Güler, M. M. (1998) · Aesthetic Plastic Surgery · doi:10.1007/s002669900163 · Cited by 50
Management and Aesthetic Results of Support Grafts in Saddle Nose Surgery
Thomassin, J.-M., Paris, J., & Richard-Vitton, T. (2001) · Aesthetic Plastic Surgery · doi:10.1007/s00266-001-0026-6 · Cited by 34
Nasal Reconstruction Using Both Cranial Bone and Ear Cartilage
Çelik, M., & Tuncer, S. (2000) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-200004050-00004 · Cited by 33
Saddle Nose: Our Approach to the Problem
Andrade, M. R., Fernandes, V. S., & Boléo-Tomé, J. P. (1999) · Aesthetic Plastic Surgery · doi:10.1007/s002669900309 · Cited by 24
The Use of Lower Turbinate Bone Grafts in the Treatment of Saddle Nose Deformities
Gürlek, A., Aşkar, İ., Bilen, B. T., et al. (2002) · Aesthetic Plastic Surgery · doi:10.1007/s00266-002-2056-0 · Cited by 23
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The value of spreader grafts in rhinoplasty: a critical review
Teymoortash, A., Fasunla, J. A., & Sazgar, A. A. (2012) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-011-1837-y · Cited by 72
“While minimal deformities can be treated with dorsal onlay grafts, in major saddle nose deformities, reconstruction of the saddled nasal dorsum and tip support with two articulated pieces of rib cartilages are usually required [21].”
Background
Metadata
- Authors
- Bilen, B. T., & Kilinç, H.
- Venue
- Journal of Craniofacial Surgery
- Published
- 2007-05
- Volume
- 18
- Issue
- 3
- Pages
- 511-515
- ISSN
- 1049-2275 (ISSN-L)
- OpenAlex
- W2024484305
- Cited by
- 32
- References
- 13
- Citations by year
- 2026: 2 · 2024: 1 · 2022: 3 · 2020: 3 · 2019: 2 · 2018: 3 · 2016: 2 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Craniofacial Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Health Sciences › Medicine › Surgery › Head and Neck Surgical Oncology
- Keywords
- saddle nose, costal cartilage graft, autogenous cartilage graft, nasal dorsum, upper lateral cartilages, nasal trauma
- MeSH terms
- Adolescent, Adult, Cartilage, Esthetics, Female, Follow-Up Studies, Humans, Male, Nasal Bone, Nasal Septum, Nose, Nose Deformities, Acquired, Ribs, Transplantation, Autologous, Treatment Outcome, Plastic Surgery Procedures
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