The Versatile Posterior Auricular Fascia in Secondary Rhinoplasty Procedures

Background Secondary rhinoplasty often involves the addition of autogenous graft material to add volume, structure, support and to camouflage cartilage and bone grafts. A variety of fascias have been used to camouflage, wrap and give “fill” in secondary rhinoplasty. The posterior auricular fascia is...

Full description

Saved in:
Bibliographic Details
Published in:Aesthetic plastic surgery 2017-08, Vol.41 (4), p.893-897
Main Authors: Hodgkinson, Darryl James, Valente, Pedro Miguel
Format: Article
Language:English
Subjects:
Ear Auricle - surgery
Ear Auricle - transplantation
Esthetics
Fascia - transplantation
Female
Graft Survival
Humans
Medicine
Medicine & Public Health
Nasal Cartilages - surgery
Original Article
Otorhinolaryngology
Patient Satisfaction
Plastic Surgery
Reoperation - methods
Rhinoplasty
Rhinoplasty - adverse effects
Rhinoplasty - methods
Sampling Studies
Skin & tissue grafts
Tissue and Organ Harvesting - methods
Transplantation, Autologous
Treatment Outcome
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Secondary rhinoplasty often involves the addition of autogenous graft material to add volume, structure, support and to camouflage cartilage and bone grafts. A variety of fascias have been used to camouflage, wrap and give “fill” in secondary rhinoplasty. The posterior auricular fascia is a source of material ideal for such purposes, and its quantity, anatomical structure and ease of harvest with minimal donor site morbidity make it a versatile and attractive autogenous graft. Methods The clinical records of patients receiving autogenous posterior auricular fascial grafts were reviewed. There were two main uses of this graft material, one was to cover the tip reconstruction in secondary rhinoplasties under thin tip skin. This is a camouflage graft. The second use is for fill and augmentation, especially for the nasal dorsum and as an interpostitional graft between the dorsum and the tip. Conclusion The posterior auricular fascial graft has many potential uses in secondary rhinoplasties and is readily harvested as a generous graft concurrent to conchal cartilage harvest and with a concealed scar behind the ear. Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
ISSN:0364-216X
1432-5241
DOI:10.1007/s00266-017-0824-0