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Facial Plast Surg 2019; 35(06): 678-686
DOI: 10.1055/s-0039-3399577
Original Research
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Sonoelastographic Evaluation of the Lower Lateral Nasal Cartilage Lateral Crus, Auricular Conchal Cartilage, and Costal Cartilage

Mehmet Hamdi Şahan
1   Department of Radiology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
,
Nuray Bayar Muluk 
2   ENT Department, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey
,
Mikail Inal
3   Department of Radiology, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey
,
Neşe Asal
3   Department of Radiology, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey
,
Gökçe Şimşek
2   ENT Department, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey
,
Osman Kürşat Arıkan
4   ENT Department, VM Mersin Medical Park Hospital, Mersin, Turkey
› Author Affiliations Funding This study was supported by Kirikkale University Scientific Research Projects and Coordination Unit (grant/award number 2019/016)
Further Information

Publication History

Publication Date:
14 November 2019 (online)

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Abstract

We investigated the sonoelastographic features of the lower lateral nasal cartilage lateral crus (LLNC-LC), auricular conchal cartilage (ACC), and costal cartilage (CC). In this prospective study, group 1 consisted of 60 participants (30 males and 30 females) between 18 and 35 years of age. Group 2 consisted of 60 participants (30 males and 30 females) between 35 and 50 years of age. Strain elastography (SE) and shear wave elastography (SWE) were performed. For all LLNC-LCs and ACCs, type I SE was detected more in group 2, type II SE was detected more in group 1, and type III SE was detected more in group 1 (p < 0.05). For CC, type I SE was detected more in both groups (p < 0.05). For LLNC-LC, type I SE was detected more in males compared with females in both groups (p < 0.05). For all LLNC-LC, ACC and CC, the SWE modulus of group 2 was significantly higher than that of group 1 (p < 0.05). In older participants, the SWE modulus increased. We recommend using ACC mainly in rhinoplasty operations for primary and revision cases as its SWE modulus is similar to that of the LLNC-LC. However, due to the higher SWE modulus of CC, CC grafts should not be used as the first choice in rhinoplasties, especially in the reconstruction of the nasal tip contour, but may be used in nasal dorsum augmentation.

Keywords

strain elastography - shear wave elastography modulus - lower lateral nasal cartilage lateral crus - auricular conchal cartilage - costal cartilage
 

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