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A functional and aesthetic solution for saddle nose deformity: the use of the inferior turbinate bone

Year 2003, Volume: 10 Issue: 5, 203 - 207, 18.10.2003

Abstract

The use of a new autologous material, the inferior turbinate bone, for nasal augmentation is presented together with surgical treatment of a 24-year-old male patient with moderately severe saddle nose deformity.İn the postoperative period, no complications were observed. Photographs and three-dimensional computed tomography views obtained 13 months after the operation showed that the reconstruction area was highly free of postoperative resorption. The patient’s complaints disappeared, and he was satisfied with functional and cosmetic results. Moreover, a histologic evaluation which was made to assess the depth of the glandular component showed that the inferior turbinate bone could be used över the nasal dorsum in a smoother shape, retaining its overlying soft tissue.

References

  • Tzadik A, Gilbert SE, Sade J. Complications of submucous resections of the nasal septum. Arch Otorhinolar yngol 1988 ; 245 :74-6 .
  • Deva AK, Merten S, Chang L. Silicone in nasal aug- mentation rhinoplasty: a decade of clinical experience. Plast Reconstr Surg 1998;102:1230-7.
  • Ta rdy ME Jr, Schwartz M, Parras G. Saddle nose defor- mity: autogenous graft re p a i r. Facial Plast Surg 1989;6: 1 2 1 - 3 4 .
  • Romo T 3rd, Sclafani AP, Sabini P. Reconstruction of the major saddle nose deformity using composite allo- implants. Facial Plast Surg 1998;14:151-7.
  • Romo T 3rd, Sclafani AP, Jacono AA. Nasal recon- struction using porous polyethylene implants. Facial Plast Surg 2000;16:55-61.
  • Baser B, Shahani R, Khanna S, Grewal DS. Calvarial bone grafts for augmentation rhinoplasty. J Laryngol Otol 1991;105:1018-20.
  • Mendelsohn M, Dunlop G. Gore-tex augmentation grafting in rhinoplasty-is it safe? J Otolaryngol 1998; 27:337-41.
  • Lohuis PJ, Watts SJ, Vuyk HD. Augmentation of the nasal dorsum using Gore-Tex: intermediate results of a retrospective analysis of experience in 66 patients. Clin Otolaryngol 2001;26:214-7.
  • Gunter JP, Rohrich RJ. Augmentation rhinoplasty: dor- sal onlay grafting using shaped autogenous septal car- tilage. Plast Reconstr Surg 1990;86:39-45.
  • Romo T 3rd, Jablonski RD. Nasal re c o n s t ruction using split calvarial grafts. Otolaryngol Head Neck Surg 1992; 1 0 7 : 6 2 2 - 3 0 .
  • Sherris DA, Kern EB. The versatile autogenous rib graft in septorhinoplasty. Am J Rhinol 1998;12:221-7.
  • Thomassin JM, Paris J, Richard-Vitton T. Management and aesthetic results of support grafts in saddle nose surgery. Aesthetic Plast Surg 2001;25:332-7.
  • Young VL, Schuster RH, Harris LW. Intracere b r a l hematoma complicating split calvarial bone-graft har- vesting. Plast Reconstr Surg 1990;86:763-5.
  • Cheney ML, Gliklich RE. The use of calvarial bone in nasal re c o n s t ruction. Arch Otolaryngol Head Neck Surg 1 9 9 5 ; 1 2 1 : 6 4 3 - 8 .
  • Queen TA, Palmer FR 3rd. Gore-Tex for nasal augmen- tation: a recent series and a review of the literature. Ann Otol Rhinol Laryngol 1995;104:850-2.
  • Berman M, Pearce WJ, Tinnin M. The use of Gore-Tex E-PTFE bonded to silicone rubber as an alloplastic implant material. Laryngoscope 1986;96:480-3.
  • Godin MS, Waldman SR, Johnson CM Jr. Nasal aug- mentation using Gore-Tex. A 10-year experience. Arch Facial Plast Surg 1999;1:118-21.
  • Adams JS. Grafts and implants in nasal and chin aug- mentation. A rational approach to material selection. Otolaryngol Clin North Am 1987;20:913-30.
  • Turegun M, Sengezer M, Guler M. Reconstruction of saddle nose deformities using porous polyethylene implant. Aesthetic Plast Surg 1998;22:38-41.
  • Romo T 3rd, Shapiro AL. Aesthetic re c o n s t ruction of the p l a t y r rhine nose. Arch Otolaryngol Head Neck Surg 1 9 9 2 ; 11 8 : 8 3 7 - 4 1 .
  • Courtiss EH, Goldwyn RM. The effects of nasal surgery on airflow. Plast Reconstr Surg 1983;72:9-21.
  • Mabry RL. Inferior turbinoplasty: patient selection, technique, and long-term consequences. Otolaryngol Head Neck Surg 1988;98:60-6.
  • Talmon Y, Samet A, Gilbey P. Total inferior turbinecto- my: operative results and technique. Ann Otol Rhinol Laryngol 2000;109(12 Pt 1):1117-9.

Semer burun tamirinde alt konka kemiğinin kullanımı: Fonksiyonel ve estetik bir çözüm

Year 2003, Volume: 10 Issue: 5, 203 - 207, 18.10.2003

Abstract

Bu yazıda, hafif ve orta derecede bozukluk gösteren semer burunların tamirinde baflvurulabilecek yeni bir materyal olarak alt konka kemiğinin kullanımı, orta de- recede deformitesi olan 24 yaflındaki erkek hastanın tedavisiyle birlikte sunuldu. Ameliyat sonrası izleminde hastada komplilkasyon geliflmedi. Ameliyattan 13 ay sonra alınan fotoğraf ve üç-boyutlu bilgisayarlı tomog- rafi görüntülerinde, rekonstrüksiyon alanının rezorbe olmadığı görüldü. Ameliyat öncesindeki flikayetleri ta- mamen geçen hasta, fonksiyonel ve kozmetik sonuç- lardan memnun olduğunu belirtti. Ayrıca, alt konka ke- miğinin yumuflak dokusunda bulunan glandüler yapıla- rın derinliğini ortaya koymak amacıyla yapılan histolojik çalıflmada, kemiğin kısmen soyularak daha düzgün fle- killi olarak burun sırtında kullanılabileceği görüldü

References

  • Tzadik A, Gilbert SE, Sade J. Complications of submucous resections of the nasal septum. Arch Otorhinolar yngol 1988 ; 245 :74-6 .
  • Deva AK, Merten S, Chang L. Silicone in nasal aug- mentation rhinoplasty: a decade of clinical experience. Plast Reconstr Surg 1998;102:1230-7.
  • Ta rdy ME Jr, Schwartz M, Parras G. Saddle nose defor- mity: autogenous graft re p a i r. Facial Plast Surg 1989;6: 1 2 1 - 3 4 .
  • Romo T 3rd, Sclafani AP, Sabini P. Reconstruction of the major saddle nose deformity using composite allo- implants. Facial Plast Surg 1998;14:151-7.
  • Romo T 3rd, Sclafani AP, Jacono AA. Nasal recon- struction using porous polyethylene implants. Facial Plast Surg 2000;16:55-61.
  • Baser B, Shahani R, Khanna S, Grewal DS. Calvarial bone grafts for augmentation rhinoplasty. J Laryngol Otol 1991;105:1018-20.
  • Mendelsohn M, Dunlop G. Gore-tex augmentation grafting in rhinoplasty-is it safe? J Otolaryngol 1998; 27:337-41.
  • Lohuis PJ, Watts SJ, Vuyk HD. Augmentation of the nasal dorsum using Gore-Tex: intermediate results of a retrospective analysis of experience in 66 patients. Clin Otolaryngol 2001;26:214-7.
  • Gunter JP, Rohrich RJ. Augmentation rhinoplasty: dor- sal onlay grafting using shaped autogenous septal car- tilage. Plast Reconstr Surg 1990;86:39-45.
  • Romo T 3rd, Jablonski RD. Nasal re c o n s t ruction using split calvarial grafts. Otolaryngol Head Neck Surg 1992; 1 0 7 : 6 2 2 - 3 0 .
  • Sherris DA, Kern EB. The versatile autogenous rib graft in septorhinoplasty. Am J Rhinol 1998;12:221-7.
  • Thomassin JM, Paris J, Richard-Vitton T. Management and aesthetic results of support grafts in saddle nose surgery. Aesthetic Plast Surg 2001;25:332-7.
  • Young VL, Schuster RH, Harris LW. Intracere b r a l hematoma complicating split calvarial bone-graft har- vesting. Plast Reconstr Surg 1990;86:763-5.
  • Cheney ML, Gliklich RE. The use of calvarial bone in nasal re c o n s t ruction. Arch Otolaryngol Head Neck Surg 1 9 9 5 ; 1 2 1 : 6 4 3 - 8 .
  • Queen TA, Palmer FR 3rd. Gore-Tex for nasal augmen- tation: a recent series and a review of the literature. Ann Otol Rhinol Laryngol 1995;104:850-2.
  • Berman M, Pearce WJ, Tinnin M. The use of Gore-Tex E-PTFE bonded to silicone rubber as an alloplastic implant material. Laryngoscope 1986;96:480-3.
  • Godin MS, Waldman SR, Johnson CM Jr. Nasal aug- mentation using Gore-Tex. A 10-year experience. Arch Facial Plast Surg 1999;1:118-21.
  • Adams JS. Grafts and implants in nasal and chin aug- mentation. A rational approach to material selection. Otolaryngol Clin North Am 1987;20:913-30.
  • Turegun M, Sengezer M, Guler M. Reconstruction of saddle nose deformities using porous polyethylene implant. Aesthetic Plast Surg 1998;22:38-41.
  • Romo T 3rd, Shapiro AL. Aesthetic re c o n s t ruction of the p l a t y r rhine nose. Arch Otolaryngol Head Neck Surg 1 9 9 2 ; 11 8 : 8 3 7 - 4 1 .
  • Courtiss EH, Goldwyn RM. The effects of nasal surgery on airflow. Plast Reconstr Surg 1983;72:9-21.
  • Mabry RL. Inferior turbinoplasty: patient selection, technique, and long-term consequences. Otolaryngol Head Neck Surg 1988;98:60-6.
  • Talmon Y, Samet A, Gilbey P. Total inferior turbinecto- my: operative results and technique. Ann Otol Rhinol Laryngol 2000;109(12 Pt 1):1117-9.
There are 23 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Orhan Özturan This is me

Tamer Erdem This is me

Murat Cem Miman This is me

Rezzan Erguvan This is me

Publication Date October 18, 2003
Published in Issue Year 2003 Volume: 10 Issue: 5

Cite

APA Özturan, O., Erdem, T., Miman, M. C., Erguvan, R. (2003). Semer burun tamirinde alt konka kemiğinin kullanımı: Fonksiyonel ve estetik bir çözüm. The Turkish Journal of Ear Nose and Throat, 10(5), 203-207.
AMA Özturan O, Erdem T, Miman MC, Erguvan R. Semer burun tamirinde alt konka kemiğinin kullanımı: Fonksiyonel ve estetik bir çözüm. Tr-ENT. October 2003;10(5):203-207.
Chicago Özturan, Orhan, Tamer Erdem, Murat Cem Miman, and Rezzan Erguvan. “Semer Burun Tamirinde Alt Konka kemiğinin kullanımı: Fonksiyonel Ve Estetik Bir çözüm”. The Turkish Journal of Ear Nose and Throat 10, no. 5 (October 2003): 203-7.
EndNote Özturan O, Erdem T, Miman MC, Erguvan R (October 1, 2003) Semer burun tamirinde alt konka kemiğinin kullanımı: Fonksiyonel ve estetik bir çözüm. The Turkish Journal of Ear Nose and Throat 10 5 203–207.
IEEE O. Özturan, T. Erdem, M. C. Miman, and R. Erguvan, “Semer burun tamirinde alt konka kemiğinin kullanımı: Fonksiyonel ve estetik bir çözüm”, Tr-ENT, vol. 10, no. 5, pp. 203–207, 2003.
ISNAD Özturan, Orhan et al. “Semer Burun Tamirinde Alt Konka kemiğinin kullanımı: Fonksiyonel Ve Estetik Bir çözüm”. The Turkish Journal of Ear Nose and Throat 10/5 (October 2003), 203-207.
JAMA Özturan O, Erdem T, Miman MC, Erguvan R. Semer burun tamirinde alt konka kemiğinin kullanımı: Fonksiyonel ve estetik bir çözüm. Tr-ENT. 2003;10:203–207.
MLA Özturan, Orhan et al. “Semer Burun Tamirinde Alt Konka kemiğinin kullanımı: Fonksiyonel Ve Estetik Bir çözüm”. The Turkish Journal of Ear Nose and Throat, vol. 10, no. 5, 2003, pp. 203-7.
Vancouver Özturan O, Erdem T, Miman MC, Erguvan R. Semer burun tamirinde alt konka kemiğinin kullanımı: Fonksiyonel ve estetik bir çözüm. Tr-ENT. 2003;10(5):203-7.