Nasal Reconstruction With Articulated Irradiated Rib Cartilage

Craig S. Murakami, Ted Cook, Robert A. Guida

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

• Nasal structural reconstruction is a formidable task in cases where there is loss of support to both the nasal dorsum and tip. A multitude of surgical approaches and materials have been used for the correction of the saddle-nose deformity with varying degrees of success. Articulated irradiated rib cartilage inserted through an external rhinoplasty approach was used to reconstruct nasal deformities in 18 patients over a 6-year period. Simultaneous use of a midline forehead flap to reconstruct the overlying soft tissue was required in four cases. Follow-up ranged from 1 to 6 years (mean, 2.8 years). Results were rewarding in most cases with marked improvement in nasal support and airway. Revision and/or replacement secondary to trauma or warping of the graft was required in four cases. None of the patients exhibited infection, extrusion, or noticeable resorption. A description of the surgical technique, review of all the cases, and recommendation for continued use of this graft material are discussed. (Arch Otolaryngol Head Neck Surg. 1991;117:327-331)

Original languageEnglish (US)
Pages (from-to)327-330
Number of pages4
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume117
Issue number3
DOIs
StatePublished - 1991

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Ribs
Nose
Cartilage
Transplants
Rhinoplasty
Forehead
Head
Infection

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Nasal Reconstruction With Articulated Irradiated Rib Cartilage. / Murakami, Craig S.; Cook, Ted; Guida, Robert A.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 117, No. 3, 1991, p. 327-330.

Research output: Contribution to journalArticle

Murakami, Craig S. ; Cook, Ted ; Guida, Robert A. / Nasal Reconstruction With Articulated Irradiated Rib Cartilage. In: Archives of Otolaryngology - Head and Neck Surgery. 1991 ; Vol. 117, No. 3. pp. 327-330.
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