Facial Plast Surg 2017; 33(04): 405-410
DOI: 10.1055/s-0037-1604107
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Auricular Composite Grafting in Functional Rhinoplasty

Neela Rao
1   Department of Otolaryngology-Head and Neck Surgery, University of Illinois at Chicago, Chicago, Illinois
,
Dean M. Toriumi
2   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of Illinois at Chicago, Chicago, Illinois
› Author Affiliations
Further Information

Publication History

Publication Date:
28 July 2017 (online)

Abstract

Surgical correction of defects of the internal nasal valve, ala, vestibule, and sill is widely regarded as a challenge due to concerns of poor outcomes of facial aesthetics and nasal function. Auricular composite grafting is a reliable method of reconstruction of deformities of the nasal vestibule and sill. A classification system of types of defects may help surgeons in understanding the indications for composite grafting. Furthermore, we have developed surgical techniques that enhance survival of composite grafts of larger size. Composite grafting is an effective technique to repair a wide range of defects of the internal nasal valve, nasal sill/ala, and vestibule with excellent functional and aesthetic results.

 
  • References

  • 1 Constantian MB. Indications and use of composite grafts in 100 consecutive secondary and tertiary rhinoplasty patients: introduction of the axial orientation. Plast Reconstr Surg 2002; 110 (04) 1116-1133
  • 2 Toriumi DM. Difficult revision case: foreshortened nose and severe alar retraction, two prior rhinoplasty surgeries. Facial Plast Surg Clin North Am 2006; 14 (04) 401-406 , viii
  • 3 Toriumi DM, Bared A. Revision of the surgically overshortened nose. Facial Plast Surg 2012; 28 (04) 407-416
  • 4 Losquadro WD, Bared A, Toriumi DM. Correction of the retracted alar base. Facial Plast Surg 2012; 28 (02) 218-224
  • 5 Fattahi T. Internal nasal valve: significance in nasal air flow. J Oral Maxillofac Surg 2008; 66 (09) 1921-1926
  • 6 Wittkopf M, Wittkopf J, Ries WR. The diagnosis and treatment of nasal valve collapse. Curr Opin Otolaryngol Head Neck Surg 2008; 16 (01) 10-13
  • 7 Kalan A, Kenyon GS, Seemungal TA. Treatment of external nasal valve (alar rim) collapse with an alar strut. J Laryngol Otol 2001; 115 (10) 788-791
  • 8 Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004; 130 (02) 157-163
  • 9 Gunter JP, Rohrich RJ, Friedman RM. Classification and correction of alar-columellar discrepancies in rhinoplasty. Plast Reconstr Surg 1996; 97 (03) 643-648
  • 10 Toriumi DM, Asher SA. Lateral crural repositioning for treatment of cephalic malposition. Facial Plast Surg Clin North Am 2015; 23 (01) 55-71