gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

Stabilizing cartilage grafts in functional-aesthetic rhinoplasty

Meeting Abstract

Suche in Medline nach

  • corresponding author Wolfgang Wagner - University Hospital for Otolaryngology, Head and Neck Surgery, Tübingen, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Bonn, 30.04.-04.05.2008. Düsseldorf, Köln: German Medical Science; 2008. Doc08hno78

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hno2008/08hno78.shtml

Veröffentlicht: 8. Juli 2008

© 2008 Wagner.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

In functional-aesthetic rhinoplasty, a change of surgical philosophy can be observed. While traditionally most rhinoplastic operations were dominated by tissue resection, more and more surgeons stress the importance of restructuring and stabilizing the nose by cartilage grafts and suture techniques. This development in rhinosurgery arises from long term experience showing that insufficient stabilization of nasal structures can lead to sequelae such as nasal valve collapse, even decades after surgery. Modern rhinosurgery pursues the goal of long term results, which are functionally and aesthetically durable over decades. Cartilage grafts play a key role in this effort.

The author presents five of the most commonly used stabilizing cartilage grafts, namely spreader grafts (cartilage strips positioned between upper lateral cartilage and septum roof), lateral crus grafts (cartilage strip on the lower lateral cartilage), alar batten grafts (cartilage grafts in the area of the nasal valves), columellar strut (cartilage strip in the columella), and septal extension graft (cartilage plate between anterior septum and columella). Depending on availability and purpose, the cartilage can be harvested from the septum, the auricle or the rib. Indications, surgical techniques and results are illustrated in the talk.