Facial Plast Surg 2022; 38(01): 002-006
DOI: 10.1055/s-0041-1729633
Original Article

Grafts in Endonasal Rhinoplasty

Daniel D. Lee
1   Department of Otolaryngology, Albany Medical Center, Albany, New York
,
Ziad Katrib
1   Department of Otolaryngology, Albany Medical Center, Albany, New York
,
Edwin F. Williams
1   Department of Otolaryngology, Albany Medical Center, Albany, New York
› Author Affiliations

Abstract

Rhinoplasty is arguably one of the most challenging but rewarding procedures for the facial plastic surgeon. To adequately improve facial aesthetic parameters and preserve nasal function, the appropriate utilization of grafts is of utmost importance. While there is no best method, I found that in my hands, the endonasal approach allowed me to achieve greater control over my results by limiting dissection, utilizing less cartilage, and minimizing variables. In this manuscript, I outline the surgical pearls I have developed throughout my career that have helped me execute these grafts efficiently and effectively.

Supplementary Material



Publication History

Article published online:
23 May 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Johnson CM, Toriumi DM. Open structure rhinoplasty. Philadelphia: Saunders; 1989
  • 2 Constantian MB. Differing characteristics in 100 consecutive secondary rhinoplasty patients following closed versus open surgical approaches. Plast Reconstr Surg 2002; 109 (06) 2097-2111
  • 3 Williams III EF, Lam SM. A systematic, graduated approach to rhinoplasty. Facial Plast Surg 2002; 18 (04) 215-222
  • 4 Tardy ME. Rhinoplasty: the art and science. California: Saunders; 1997
  • 5 Pontius AT, Williams III EF. Endonasal placement of spreader grafts in rhinoplasty. Ear Nose Throat J 2005; 84 (03) 135-136
  • 6 Williams EF. Alar-columellar disharmony using the tongue-in-groove maneuver in primary endonasal rhinoplasty. Arch Facial Plast Surg 2012; 14 (04) 283-288