The success of rhinoplasty is highly variable and the technique employed by the operating surgeon must be tailored for different patient demographics. This group from China describes the structural differences in nasal configuration within the Asian population, notably an under-projected nasal tip. Hence, optimising nasal tip projection has been a focus amongst rhinologists operating on such cohorts. This group investigated the outcomes of three nasal tip graft variations during rhinoplasties performed on 57 Asian participants over a seven-year period: an integrated snake-shaped expanded polytetrafluoroethylene (SSePTFE) with conchal cartilage graft, conchal cartilage graft and costal cartilage graft. Endpoints employed within this study were complication rates, aesthetic and functional outcomes via validated questionnaires. After a 13-month median follow-up period, 13.3% of integrated SSePTFE-conchal cartilage and 11.8% of conchal cartilage nasal tip grafts were infected. No statistically significant difference between complication rates was identified between the three groups. The authors highlight the additional mechanical strength, enhanced camouflage, and projection when SSeTPTFE is added to conchal cartilage compared to conchal cartilage alone. Integrated SSePTFE-conchal cartilage grafts demonstrated comparable postoperative satisfaction to costal cartilage grafts with a shorter operative time due to no additional assembly time. Future studies inspecting efficacy and safety of integrated SSePTFE-costal cartilage nasal tip grafts compared to the three groups in this study would be an interesting next step.
Can a serpent-shaped graft enhance your nose?
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