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A Different Stabilization Technique of Autogenous Cartilage Grafts in Saddle Nose Deformity

Prevention Warping and Resorption

Gundeslioglu, A. Ozlem MD*; Yildirim, Mehmet Emin Cem MD; Yarar, Serhat MD; Uyar, Ilker MD§; Ismayilzade, Majid MD

Journal of Craniofacial Surgery: May 2019 - Volume 30 - Issue 3 - p 811–815
doi: 10.1097/SCS.0000000000005123
Clinical Studies
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Background: Saddle nose deformity (SND) is a collapse of the cartilage and bone structures forming the dorsal projection of the nose. After the use of autologous cartilage in the treatment of SND, resorption and warping continue to be a problem.

Methods: This study presents results from 11 patients with SND types III and IV from 2005 to 2017 treated with autologous cartilage fixed with microplates and microscrews. The patients were monitored for at least 1 year. Resorption and warping were measured using postoperative photographs of the patients in the 3rd and 12th months after treatment.

Results: No signs of resorption or warping were noted in the patients.

Conclusions: Our findings indicate autologous cartilage use with microplates and microscrews is a viable, long-term treatment option for patients with SND types III and IV.

*Private Tinaztepe Hospital, Department of Plastic, Reconstructive and Aesthetic Surgery, Izmir

Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Medical Faculty, Necmettin Erbakan University, Konya

Department of Plastic, Reconstructive and Aesthetic Surgery, Konya Numune Hospital, Konya

§Department of Plastic, Reconstructive and Aesthetic Surgery, Tokat State Hospital, Tokat, Turkey.

Address correspondence and reprint requests to Mehmet Emin Cem Yildirim, MD, Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Medical Faculty Hospital, Necmettin Erbakan University, Konya, Turkey E-mail: dr.cem_yildirim@hotmail.com

Received 23 June, 2018

Accepted 26 September, 2018

The authors report no conflicts of interest

© 2019 by Mutaz B. Habal, MD.