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  Contents > Previous page > Article detail print Order
o Issue N# 4 - 2013 o

PLASTIC SURGERY

Aesthetic augmentation of the dorsum, mid-term results


Authors : Winter C, Gerbault O, Kestemont P, Castillo L. (Nice)

Ref. : Rev Laryngol Otol Rhinol. 2013;134,4:179-184.

Article published in french
Downloadable PDF document french



Summary : Purpose of the study: Dorsum aesthetic augmentation can be divided according to their objective, total and partial increa­se or camouflage. The objective of this original article is to define the valid techniques in each indication through a cohort study, clinical cases, and current data from the lite­ra­ture. Patient and method: lt is a monocentric mono operator retrospec­tive study from 2005 to 2010 included. On 171 rhino­plasties, 57 were augmentation rhinoplasties of which 40 were of interest to the dorsum. Excluded patients were bone grafts, lost and one patient operated on a active Wegener desease. Thus 26 rhinoplasties were analyzed by an indepen­dent obser­ver. Results: All grafts confused there were 11.5% of resorption which corresponds to the data from the literature, 17% of resorption in the camouflage indications and 7% in augmen­ta­tion, as well as a higher resorption for crushed cartilage (33%) rate. There was more mobility in augmentation (28%) than in the camouflage (8%) and greater visibility of the banks of the graft in augmentation (35%) compared to the camouflage (8%). Conclusion: In the mild to severe saddle nose, the DCF is greater than cartilage monobloc or crushed in terms of stability and visibility, its indications could be expanded to harmoni­sa­tion. Camouflage crushed cartilage is not sustainable and the temporal aponeurosis could it be preferred. Resorbable fillers can offer an alternative to surgery or improve its results.

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