Current Status of Grafts and Implants in Rhinoplasty: Part I. Autologous Grafts

@article{Sajjadian2010CurrentSO,
  title={Current Status of Grafts and Implants in Rhinoplasty: Part I. Autologous Grafts},
  author={Ali Sajjadian and Roee Rubinstein and Nima Naghshineh},
  journal={Plastic and Reconstructive Surgery},
  year={2010},
  volume={125},
  pages={40e-49e}
}
Learning Objectives: After reading this article, the participant should be able to: 1. Understand the challenges in restoring volume and structural integrity in rhinoplasty. 2. Identify the appropriate uses of various autografts in aesthetic and reconstructive rhinoplasty (septal cartilage, auricular cartilage, costal cartilage, calvarial and nasal bone, and olecranon process of the ulna). 3. Identify the advantages and disadvantages of each of these autografts. Summary: This review… 
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References

SHOWING 1-10 OF 98 REFERENCES
Implants in rhinoplasty.
TLDR
An algorithm for nasal implants for specific indications in support and augmentation is presented and categories of graft materials, their physical properties, harvesting and preparation technique, and advantages and disadvantages are discussed.
Grafts in rhinoplasty: alloplastic vs. autogenous.
TLDR
The differences between autogenous cartilage implants and synthetic materials, in particular expanded PTFE (Gore-tex; WL Gore & Associates Inc, Flagstaff, Ariz), are focused on.
Management and Aesthetic Results of Support Grafts in Saddle Nose Surgery
TLDR
In patients with important saddle nose deformity, calvarial bone is recommended as a material of choice for dorsonasal reconstruction and provides excellent and natural long-term feel to the nasal complex.
Grafts amd implants in rhinoplasty and nasal reconstruction.
TLDR
The quest for nasal symmetry and balance with the face often mandates the need for implantable materials to sculpt and rebuild the nasal skeleton and the overlying tissues, and implant materials that may be used in the nose can be divided into four groups: autografts, homografteds, xenograftS, and alloplasts.
The Use of Lower Turbinate Bone Grafts in the Treatment of Saddle Nose Deformities
TLDR
The surgical management and long-term aesthetic and functional results of patients undergoing rhinoplasty with support grafts for a saddle nose deformity were defined and results were satisfactory in both function and aesthetics.
Use of spreader grafts in the external approach to rhinoplasty.
TLDR
The use of spreader grafts in endonasal rhinoplasty as described by Sheen has been expanded by the external approach to recreate dorsal aesthetic lines, reconstruct a narrow middle vault, and restore the internal nasal valve.
The Use of Cartilage Grafts in Primary Aesthetic Rhinoplasty
TLDR
Cartilage grafts indicated when operating on small noses with thick skin to increase and define the dorsum, to add projection and angularity to the tip, to project the columella, and to correct the acute nasolabial angle are found.
Retrospective review of augmentation rhinoplasties using autologous cartilage grafts.
TLDR
While autologous cartilage remains the best graft material available there is a significantly higher revision rate than when no graft is required, primarily due to the unpredictable scarring associated with the graft in the medium term and the asymmetric nature of conchal cartilage.
The Turkish Delight: A Pliable Graft for Rhinoplasty.
TLDR
An elegant long-term study of the author's technique of using Surgicel-wrapped diced cartilage as a graft material in primary and secondary rhinoplasty, finding that the graft forms a fibrocartilaginous matrix that is responsible for its malleability and its regular, smooth contour.
Nasal grafts and implants in revision rhinoplasty.
TLDR
A key understanding of the benefits and limitations of each implant or graft and implants commonly used in revision rhinoplasty surgery is needed.
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