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:: Volume 6, Number 2 (4-2017) ::
wjps 2017, 6(2): 137-143 Back to browse issues page
Evidence-Based Efficacy of Autologous Grated Cartilage in Primary and Secondary Rhinoplasty
Ali Manafi , Ali Kaviani, Zahra Sadat Hamedi, Afsaneh Rajabiani, Navid Manafi
Department of Plastic Surgery, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (400 Views)

BACKGROUND

There are numerous methods to mold and shape cartilage grafts for use in rhinoplasty. Each technique has advantages and disadvantages. We are going to introduce a new method for cartilage shaping with long lasting effects confirmed by follow up examination and pathologic evaluation.

METHODS

Grated cartilage was used in 483 patients. For 89 cases, it was wrapped in fascia and in 394 patients, used as a filler per se or in contiguity with solid structural grafts. In 51 patients, the operation was primary rhinoplasty and 432 cases, underwent secondary rhinoplasty. Postoperatively, there was a mean follow up of 2.8 years. Graft viability, and capability to maintain almost original volume, and general durability were assessed.

RESULTS

Out of 483 patients, only 23 cases (4.7%) needed later correction. In 11 cases (2%), it was due to overcorrection and some minor imperfections. In the rest 12 cases (2%), there was a need for more augmentation probably due to some degree of graft resorption. Three cases of these 12 patients, were corrected by outpatient shaved cartilage injection.

CONCLUSION

According to the very low revision rate (less than 5%), we strongly recommend our grated cartilage graft for use in primary and secondary rhinoplasty. Our study showed that patient and surgeon`s satisfaction can be achieved with a high degree of confidence.

Keywords: Autologous, Cartilage, Graft, Rhinoplasty
Full-Text [PDF 3385 kb]   (263 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2017/05/17 | Accepted: 2017/05/17 | Published: 2017/05/17
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Manafi A, Kaviani A, Hamedi Z S, Rajabiani A, Manafi N. Evidence-Based Efficacy of Autologous Grated Cartilage in Primary and Secondary Rhinoplasty. wjps. 2017; 6 (2) :137-143
URL: http://wjps.ir/article-1-340-en.html
Volume 6, Number 2 (4-2017) Back to browse issues page
مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
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