Revista de otorrinolaringología y cirugía de cabeza y cuello
versión On-line ISSN 0718-4816
FABA C, Gabriel; CORNEJO SCH, Santiago; GUTIERREZ C, Daniela y BREINBAUER K, Hayo. Grafts in rinoplasty: Pontificia Universidad Católica de Chile. ENT Department Erxperience. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2011, vol.71, n.1, pp. 11-22. ISSN 0718-4816. http://dx.doi.org/10.4067/S0718-48162011000100003.
Introduction: Rhinoplasty is one of the most challenging cosmetic surgeries. Among surgical alternatives the vast variety of graft and implants are of great value, and every surgeon should have a thorough knowledge of the most commonly used. Aim: To describe the experience in the use of grafts in rhinoplasty by the Pontificia Universidad Catolica de Chile "Nose Committee", ENT Department. Material and method: Retrospective study. All committee patient's surgical protocols between March 2008 and August 2009 were reviewed. Results: 98 rhinoseptoplasties due to rhinoseptedeviation were conducted during the analized period. 84% were conducted through an open approach. Columella strut was the most commonly used graft (84%%), followed by the shield graft (28%%) and the spreader (18%). Alar, nasion and septal correcting were used in less than 5%. Autologous grafts (nasal septum) were used in all grafts. The vast majority of the grafts were implemented through an open approach. At the time of this review no graft related complications were reported. Discussion: Our "Nose Committee's experience follows the trend of "cut less"and fill. Grafts represent a valuable asset in a rhinoplasty surgeon repertoire.
Palabras clave : Rhinoplasty; Rhinoseptoplasty; grafts.