Facial Plast Surg 2014; 30(03): 306-317
DOI: 10.1055/s-0034-1376876
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Framework Fabrication with Rib Cartilage in Partial and Total Nasal Reconstruction

Henning Freiherr von Gregory
1   Klinik fuer Plastische Gesichtschirurgie, Zentrum Plastische Chirurgie, Marienhospital, Stuttgart, Germany
,
Helmut Fischer
1   Klinik fuer Plastische Gesichtschirurgie, Zentrum Plastische Chirurgie, Marienhospital, Stuttgart, Germany
,
Ron Julius Eppstein
1   Klinik fuer Plastische Gesichtschirurgie, Zentrum Plastische Chirurgie, Marienhospital, Stuttgart, Germany
,
Wolfgang Gubisch
1   Klinik fuer Plastische Gesichtschirurgie, Zentrum Plastische Chirurgie, Marienhospital, Stuttgart, Germany
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Publikationsverlauf

Publikationsdatum:
11. Juni 2014 (online)

Abstract

The framework reconstruction of the nose is a significant and complex component of its partial or total reconstruction. On the one hand, the design of the individual framework parts is based on the anatomic nature of available rib or ear cartilage, which must on the other hand be adapted to the anatomic characteristics of the defect. The framework parts must be anchored not only to each other but also stably to the facial skeleton. The symmetry of the framework reconstruction is an essential component of the aesthetics of the reconstructed nose. If these points are already considered in planning, the reconstruction of the nasal framework can be standardized insofar as the same principles for the basic design of the individual parts as well as stable solutions for the anchoring points can be chosen. With reproducible techniques, functionally and aesthetically good to very good results can be achieved, including in the long term. The surgeon must possess special skills in the field of nasal reconstruction to correctly choose, apply, and combine the various techniques of nasal framework reconstruction.

 
  • References

  • 1 Menick FJ. A 10-year experience in nasal reconstruction with the three-stage forehead flap. Plast Reconstr Surg 2002; 109 (6) 1839-1855 , discussion 1856–1861
  • 2 Burget GC, Menick FJ. Aesthetic Reconstruction of the Nose. St. Louis, MI: Mosby; 1994
  • 3 Walton RL, Burget GC, Beahm EK. Microsurgical reconstruction of the nasal lining. Plast Reconstr Surg 2005; 115 (7) 1813-1829
  • 4 Daniel RK, Calvert JW. Diced cartilage grafts in rhinoplasty surgery. Plast Reconstr Surg 2004; 113 (7) 2156-2171
  • 5 Daniel RK. Mastering Rhinoplasty. 2nd ed. Berlin, Heidelberg: Springer; 2010
  • 6 Horton CE, Matthews MS. Nasal reconstruction with autologous rib cartilage: a 43-year follow-up. Plast Reconstr Surg 1992; 89 (1) 131-135
  • 7 Daniel RK. Rhinoplasty and rib grafts: evolving a flexible operative technique. Plast Reconstr Surg 1994; 94 (5) 597-609 , discussion 610–611
  • 8 Marin VP, Landecker A, Gunter JP. Harvesting rib cartilage grafts for secondary rhinoplasty. Plast Reconstr Surg 2008; 121 (4) 1442-1448
  • 9 Shubailat GF. Cantilever rib grafting in salvage rhinoplasty. Aesthetic Plast Surg 2003; 27 (4) 281-285
  • 10 Burget GC. Aesthetic reconstruction of the nose. In: Mathes SJ, , ed. Plastic Surgery, 2nd ed. Philadelphia, PA: Elsevier; 2006: 573
  • 11 Menick FJ. Nasal Reconstruction: Art and Practice. Edinburgh: Saunders; 2008
  • 12 Rohrich RJ, Griffin JR, Ansari M, Beran SJ, Potter JK. Nasal reconstruction—beyond aesthetic subunits: a 15-year review of 1334 cases. Plast Reconstr Surg 2004; 114 (6) 1405-1416 , discussion 1417–1419
  • 13 Gurley JM, Pilgram T, Perlyn CA, Marsh JL. Long-term outcome of autogenous rib graft nasal reconstruction. Plast Reconstr Surg 2001; 108 (7) 1895-1905 , discussion 1906–1907
  • 14 Menick FJ. Anatomic reconstruction of the nasal tip cartilages in secondary and reconstructive rhinoplasty. Plast Reconstr Surg 1999; 104 (7) 2187-2198 , discussion 2199–2201