Nasal tip grafts in primary rhinoplasty

Abstract

Introduction: The management of the nasal contours is vital to achieve a satisfac- tory result in rhinoplasty. Sometimes the reorientation of structuresis not enough to achieve this, therefore grafts should be used to obtain adequate aesthetic and functional results. Aim: To describe the nasal tip grafts used in primary rhinoplasty, its benefits as well as the author’s experience using the open and closed approaches. Material and method: A retrospective study was performed by reviewing medical records, surgical protocols and pre, intra and postoperative photographic archives of all patients in whom primary rhinoplasty was performed between April 2012 and March 2015. Epidemiological data, surgical technique and nasal tip grafts used were evaluated. Results: Casuistry of 143 patients who underwent rhinoplastyand during period is described, with an average age of 29 years, 69% female and 31% male. The closed approach was performed in 55%. Nasal tip grafts was used in 136 patients where auto- logous septal graft was used in 100% of cases. The grafts most used were the strut graft (93%) and the morselized cartilage on the domes (85%). Also used were the following grafts: alar batten, alar rim, shield, strut alar, caudal septal extensión, and seagullwing, but to a lesser extent. Conclusion: The nasal tip grafts should be an obligatory arsenal of the otorhino- laryngologist, its correct use will allow us to achieve an adequate management of nasal contours and satisfactory aesthetic and functional results.