Utilization of Tutopatch® bovine pericardium xenograft for nasal dorsum augmentation in primary and secondary rhinoplasties

Yıl 2019, Cilt: 29 Sayı: 3, 111 - 118, 25.09.2019

Aret Çerçi Özkan Erdem Güven

Öz

Objectives: The aim of this study was to present the utilization of Tutopatch® bovine pericardium xenograft for nasal dorsum augmentation and/or camouflage in primary and secondary rhinoplasties. Patients and Methods: Between January 2017 and July 2019, the Tutopatch® bovine pericardium was used for nasal dorsum or glabellar augmentation in eight patients 3 males, 5 females: mean age 35 years; range, 25 to 43 years and used for camouflage in six patients 1 male, 5 females; mean age: 30 years; range, 27 to 38 years having rhinoplasty operations. Medical data of the patients were retrospectively analyzed. Pre- and postoperative results were compared. Degree of satisfaction was self-reported by the patients. Results: The mean follow-up was 16 range, 6 to 24 months. Only one major complication due to the overcorrection of the nasal dorsum with a small hump was observed in a secondary rhinoplasty case necessitating further revision. Other types of complications such as erythema, undercorrection, malposition, seroma, hematoma, or graft extrusion were not observed. All patients, except for the case necessitating further revision were satisfied with the outcomes. Conclusion: Utilization of Tutopatch® bovine pericardium xenograft in wrapping the diced cartilage for nasal dorsum augmentation or as the camouflage material over the nasal dorsum and nasal tip skeleton in either primary or secondary rhinoplasty operations can be a wise option without any adverse allergic reaction or donor site morbidity

Anahtar Kelimeler

Augmentation, bovine, dorsum, nasal, pericardium, tutopatch

Kaynakça

• Gordon CR, Alghoul M, Goldberg JS, Habal MB, Papay F. Diced cartilage grafts wrapped in AlloDerm for dorsal nasal augmentation. J Craniofac Surg 2011;22:1196-9.
• Alio JL, Rodriguez AE, Martinez LM. Bovine pericardium membrane (tutopatch) combined with solid platelet-rich plasma for the management of perforated corneal ulcers. Cornea 2013;32:619-24.
• Savino G, Mandarà E, Calandriello L, Dickmann A, Petroni S. A modified one-stage early correction of blepharophimosis syndrome using tutopatch slings. Orbit. 2015;34:186-91.
• de Dorlodot C, De Bie G, Deggouj N, Decat M, Gérard JM. Are bovine pericardium underlay xenograft and butterfly inlay autograft efficient for transcanal tympanoplasty? Eur Arch Otorhinolaryngol 2015;272:327-31.
• Semprini G, Cattin F, De Biasio F, Cedolini C, Parodi PC. The bovine pericardial patch in breast reconstruction: a case report. G Chir 2012;33:392-4.
• Erol OO. The Turkish delight: a pliable graft for rhinoplasty. Plast Reconstr Surg 2000;105:2229-41.
• Daniel RK. Dorsal Augmentation: Temporal Fascia-Wrapped Diced Cartilage. In: Rohrich RJ, Adams WP, Ahmad J, Gunter JP, editors. Dallas Rhinoplasty. 3rd ed. Florida: QMP&CRC Press; 2014. p. 293-300.
• Calvert JW, Brenner K, DaCosta-Iyer M, Evans GR, Daniel RK. Histological analysis of human diced cartilage grafts. Plast Reconstr Surg 2006;118:230-6.
• Cerkes N, Basaran K. Diced cartilage grafts wrapped in rectus abdominis fascia for nasal dorsum augmentation. Plast Reconstr Surg 2016;137:43-51.
• Karaaltin MV, Orhan KS, Demirel T. Fascia lata graft for nasal dorsal contouring in rhinoplasty. J Plast Reconstr Aesthet Surg 2009;62:1255-60.
• Karaaltin MV, Batioglu-Karaaltin A, Orhan KS, Demirel T, Guldiken Y. Autologous fascia lata graft for contour restoration and camouflage in tertiary rhinoplasty. J Craniofac Surg 2012;23:719-23.