Nasal dorsum reconstruction with ear cartilage and retroauricular muscle

Introduction:

Various endogenous material, such as, costal cartilage, ear cartilage, can be used for the reconstructing of the nasal dorsum, especially in revision rhinoplasty. In this work, the use of ear cartilage with retroauricular muscle for the reconstruction of the nasal dorsum is presented.

Material and patients:

Six patients with saddle nose were surgically treated with an open septorhinoplasty revision between 2015 and 2016 in the Department of Otorhinolaryngology, University Medical Centre Homburg/Saar/Germany. The postoperative follow-up time was 12 months.

Results:

All patients had harvest the concha cartilage and retroauricular muscle without complications. Postoperative keloid formation was not documented. Harvest of retroauricular muscle and concha cartilage was safe and easy. All patients were treated via an open access. A septorhinoplasty had previously been performed in 4 patients, 2 patients had a septoplasty prior to the procedure. Patients were very satisfied with the cosmetic result postoperatively. In all patients, a stable nasal dorsum with a good profile and no palpable irregularities was observed postoperatively.

Summary:

Harvest of the ear cartilage with retroauricular muscle is a valuable technique in nasal dorsum reconstructing, especially in revision cases. The harvest of retroauricular muscle and/or retroauricular fascia, can resign the use of foreign bodies such as Tutopatch or Faszia lata.

Publication History

Publication Date:
18 April 2018 (online)