Open Access
CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S310
DOI: 10.1055/s-0038-1640788
Abstracts
Plastische Chirurgie: Plastic Surgery

Use of a fibrinogen-thrombin sponge (TachoSil®) in rhinoplasty: a systematic retrospective analysis

Authors

  • C Jacobi

    1   TU München, München, Deutschland

  • M San Nicolo

    2   LMU München, München

  • A Berghaus

    2   LMU München, München
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    Introduction:

    Several methods have been developed to address nasal dorsum augmentation and smoothing of irregularities in rhinoplasty. Finding the ideal method is still controversial. In this study we evaluate a novel technique of cartilage grafting for nasal dorsum augmentation by wrapping cartilage in a fibrinogen and thrombin coated collagen patch named TachoSil®.

    Methods:

    From 16.02.2007 – 11.02.2016, TachoSil® was applied in rhinoplasty in 141 patients. We retrospectively analysed clinical data and photo documentation collected during the postoperative follow-up visits. The mean follow-up period was 20 months.

    Results:

    In 141 patients, TachoSil® was used in different indications: augmentation of saddle nose deformities (n = 72), radix (n = 5), tip-area (n = 4) and refinement of nasal dorsum irregularities (n = 59). A diced cartilage graft enclosed by a bilayer of TachoSil® was applied in 83 patients. Solid pieces of cartilage were either embedded in a bilayer of TachoSil® (n = 14) or covered by a monolayer (n = 51), respectively. In 77 cases, septal cartilage was harvested, in 32 and 8 patients ear and rib cartilage, respectively. Moreover, TachoSil® without cartilage served as a soft tissue support in 16 thin skinned patient. One patient had a soft tissue infection of the nasal tip with a onset 3 weeks postoperatively, another develop bilateral edema of the cheek region on the first postoperative day. In both cases, conservative management was sufficient. A causal relation to TachoSil® could not be shown.

    Conclusions:

    TachoSil® is an eligible and comparatively safe method to facilitate diced or solid cartilage fixation in nasal dorsum augmentation and precise profile shaping.


     

    No conflict of interest has been declared by the author(s).

    Dr. med. Christian Jacobi
    TU München,
    Ismaningerstr. 22, 81675,
    München,
    Deutschland   

    Publication History

    Publication Date:
    18 April 2018 (online)

    © 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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