Universität zu Köln

Zinser, Max J., Siessegger, Mathias, Thamm, Oliver, Theodorou, Panangiotis, Maegele, Mark, Ritter, Lutz, Kreppel, Matthias, Sailer, Martin H., Zoeller, Joachim E. and Mischkowski, Robert A. (2013). Comparison of different autografts for aural cartilage in aesthetic rhinoplasty: is the tragal cartilage graft a viable alternative? Br. J. Oral Maxillofac. Surg., 51 (8). S. 863 - 868. EDINBURGH: CHURCHILL LIVINGSTONE. ISSN 0266-4356

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Abstract

Auricular cartilage is an important source of grafts for various reconstructive procedures such as aesthetic rhinoplasty. The purpose of this investigation was to compare tragal cartilage with auricular cartilage harvested from the concha and scapha, and describe its clinical viability, indications, and morbidity in rhinoplasty. A total of 150 augmentation rhinoplasties with a total of 170 grafts were included. The donor sites were tragus (n = 136), concha (n = 26), and scapha (n = 8). The time needed to harvest the grafts, the donor site morbidity, and the indications for operation were recorded. The anthropometric changes to 4 auricular variables after the cartilage had been harvested were analysed and compared with those on the opposite side in 48 patients using Student's paired t-test. Intraobserver reliability was assessed using Pearson's intraclass correlation. The mean (SD) harvesting time was 27 (8) min for the concha, 4.5 (1.4) min for the tragus, and 5.7 (1.6) min for the scapha. The largest graft was taken from the concha (28 x 19 mm), followed by the tragus (20 x 12 mm), and the scapha (18 x 6 mm). The grafts were placed at the following sites: tip grafts (n = 123), columella struts (n = 80), shield (n = 20), rim (n = 17), and dorsal onlay (n = 15). Harvesting tragal cartilage is safe, simple, fast, and has a low morbidity, but it can affect the patient's ability to wear earphones. Tragal cartilage is a good alternative for nasal reconstruction if a graft of no longer than 20 mm is required. (C) 2013 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Zinser, Max J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Siessegger, Mathias UNSPECIFIED UNSPECIFIED UNSPECIFIED Thamm, Oliver UNSPECIFIED UNSPECIFIED UNSPECIFIED Theodorou, Panangiotis UNSPECIFIED UNSPECIFIED UNSPECIFIED Maegele, Mark UNSPECIFIED UNSPECIFIED UNSPECIFIED Ritter, Lutz UNSPECIFIED UNSPECIFIED UNSPECIFIED Kreppel, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Sailer, Martin H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Zoeller, Joachim E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mischkowski, Robert A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-470551
DOI:	10.1016/j.bjoms.2013.04.001
Journal or Publication Title:	Br. J. Oral Maxillofac. Surg.
Volume:	51
Number:	8
Page Range:	S. 863 - 868
Date:	2013
Publisher:	CHURCHILL LIVINGSTONE
Place of Publication:	EDINBURGH
ISSN:	0266-4356
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DONOR-SITE MORBIDITY; RECONSTRUCTION; NOSE Multiple languages Dentistry, Oral Surgery & Medicine; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/47055