Post-surgical complications of the management of the nasal dorsum with the cartilage-bridging technique
Article Sidebar
Main Article Content
Abstract
(CEP) has been carried out for approximately a decade, performed in rhinoplasties
closed by a single otorhinolaryngologist. However, there are no studies that
characterize the complications of this technique. Objective: To characterize postoperative
complications of the management of the nasal dorsum with bridge cartilage
in patients undergoing rhinoplasty. Methodology: Retrospective, descriptive, observational
cross-sectional study, covering clinical records of patients who underwent
closed rhinoplasty with the bridge cartilage technique between 2013 and 2016. Sociodemographic
variables, characteristics of the procedure, and complications detected
during follow-up were recorded postoperative: appearance of infection, extrusion,
displacement, and reabsorption of the graft Results: 882 medical records were identified.
The median age was 28 years, being 81 % female. Rhinoplasty was primary
in 80.6 %, the dorsal graft material was only cartilage in 80.6 %, Gore-Tex® in 1.7
% and combination of cartilage and Gore-Tex® in 17.7 %. The median duration of
the rhinoplasties was 78 minutes (ICR: 72-85), with the main additional procedure
being septoplasty in 82.2 %. 18.2 % of the patients presented complications. Displacement
(14.7 %) was the main complication reported, followed by reabsorption (4.0
%) and infection (0.1 %). Conclusions: The cartilage bridge technique showed graft
displacement and reabsorption as main complications, with a frequency similar to
that described in other studies
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.
Este es un artículo de acceso abierto, distribuido bajo los términos de la LicenciaCreativeCommons Atribución-CompartirIgual 4.0 Internacional.( http://creativecommons.org/licenses/by-sa/4.0/), que permite el uso no comercial, distribución y reproducción en cualquier medio, siempre que la obra original sea debidamente citada.
eISSN: 2539-0856
ISSN: 0120-8411
References
Niamtu J. Cosmetic Facial Surgery. 2.a edición. [San Luis]: Elsevier; 2018. 808 p.
Bagheri SC. Primary Cosmetic Rhinoplasty. Oral Maxillofac Surg Clin North Am. 2012;24(1):39-48. doi: 10.1016/j.
coms.2011.10.001
Noemi LP. Cirugía estética de nariz. Rev Actual Clínica.2014;47:2514-9.
Constantian MB. Rhinoplasty: Craft and Magic. 1.a edición.Nueva York: Thieme; 2009. 2302 p.
López-Cedrun JL. Cirugía reconstructiva y estética del tercio medio facial. 1.a edición. [Madrid]: Editorial ARAN; 2005. 366p.
Fonseca R. Oral and Maxillofacial Surgery. 3.a edición. San Luis: Elsevier Saunders; 2017. 2696 p.
Adamson PA, Galli SK. Rhinoplasty approaches: current state of the art. Arch Facial Plast Surg. 2005;7(1):32-7. doi: 10.1001/archfaci.7.1.32
Abarca AA, Naser GA, Pardo JJ. Aplicaciones de materiales aloplásticos en rinoplastía. Rev. Otorrinolaringol. Cir.
Cabeza Cuello. 2010;70(3):259-64. doi: 10.4067/S0718-48162010000300010
Sajjadian A, Rubinstein R, Naghshineh N. Current status of grafts and implants in rhinoplasty: part I. Autologous grafts.
Plast Reconstr Surg. 2010;125(2):40e-49e. doi: 10.1097/PRS.0b013e3181c82f12
Sajjadian A, Naghshineh N, Rubinstein R. Current status of grafts and implants in rhinoplasty: Part II. Homologous grafts and allogenic implants. Plast Reconstr Surg. 2010;125(3):99e-109e.doi: 10.1097/PRS.0b013e3181cb662f
Escobar Sanz-Dranguet P, Márquez Dorsch F, Villacampa Aubá JM, Sanabria Brassart J, Gutiérrez Fonseca R, Pastormerlo Botegia G, et al. Injertos cartilaginosos en rinoplastia. Acta Otorrinolaringol Esp. 2002;53(10):736-40.
Gunter JP RR. Augmentation rhinoplasty: dorsal onlay grafting using shaped autogenous septal cartilage. Plast Reconstr Surg. 1990;86(1):39-45.
Álvarez-Buylla Blanco M, Sarandeses García A, Chao Vieites J, Babarro Fernández R, Deus Abelenda C, Padín Seara A.
Resultados funcionales y estéticos tras rinoplastia de aumento.Acta Otorrinolaringol Esp. 2011;62(5):347-54.
Lin G, Lawson W. Complications using grafts and implants in rhinoplasty. Oper Tech Otolaryngol - Head Neck Surg.
;18(4):315-23. doi: 10.1016/j.otot.2007.09.004
Moretti MP, Casari L. Satisfacción y motivación de la cirugía estética en mujeres y su relación con los esquemas
desadaptativos tempranos. Psicogente. 2017;20(38):222-39.doi: 10.17081/psico.20.38.2543
Godfrey NV. Augmentation rhinoplasty with mortised septal cartilage. Aesthetic Plast Surg. 1993;17(1):31-5. doi: 10.1007/BF00455046
Godin MS, Waldman SR, Johnson CM Jr. Nasal augmentation using Gore-Tex. A 10-year experience. Arch Facial Plast
Surg. 1999;1(2):118-21; discussion 122. doi: 10.1001/archfaci.1.2.118
Lohuis PJ, Watts SJ, Vuyk HD. Augmentation of the nasal dorsum using Gore-Tex: intermediate results of a retrospective
analysis of experience in 66 patients. Clin Otolaryngol Allied Sci. 2001;26(3):214-7. doi: 10.1046/j.1365-2273.2001.00453.x
Bracaglia R, Fortunato R, Gentileschi S. Secondary rhinoplasty. Aesthetic Plast Surg. 2005;29(4):230-9. doi: 10.1007/s00266-005-0034-z
Mao J, Carron M, Tomovic S, Narasimhan K, Allen S, Mathog RH. Cartilage grafts in dorsal nasal augmentation of traumatic saddle nose deformity: a long-term follow-up. Laryngoscope. 2009;119(11):2111-7. doi: 10.1002/lary.20491