2010, Number 2
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Cir Plast 2010; 20 (2)
Experience with closed rhinoplasty and Spongostan (a possible tridimensional matrix for cartilage graft on the nasal dorsum)
Vallarta RRA, Ortiz LJB, Vázquez AMG
Language: Spanish
References: 39
Page: 78-86
PDF size: 617.72 Kb.
ABSTRACT
The need for replacement of the nasal dorsum is clearly demonstrated by open nasal roof, irregular surface, side collapse and valvular alteration after nasal hump resection. Anatomically, it requires a straight, symmetric and prominent osteo-cartilaginosum structure achieved through the placement of a cartilaginous graft framework. It is too simple to think that the hump resection in itself is the universal procedure applicable to achieve a straight nasal dorsum, without considering height, width, length, surface regularity, valve function and appearance of the nose. Cartilage grafts in sponge Spongostan® (Johnson & Johnson) have been used experimentally for filling three-dimensional defects in dynamic surface joints with positive results for chondrocyte differentiation and differentiation reduction. We report our 3-year experience with the use of this material as a means of containment and possible three-dimensional framework that improves the viability, stability and chondrocyte proliferation in the replacement of the nasal dorsum in primary and secondary rinoplasties. We also discuss their advantages and disadvantages and long term results.
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