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January 1988

The Use of Autogenous Cartilage for the Repair of Cosmetic Nasal Defects

Arch Otolaryngol Head Neck Surg. 1988;114(1):17. doi:10.1001/archotol.1988.01860130021002

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At the recent fall meeting of the American Academy of Facial Plastic and Reconstructive Surgery, held in Chicago, Norman J. Pastorek, MD, New Rochelle, NY, and Anthony DeGennaro, MD, New York, presented their experience using autogenous cartilage in rhinoplasty. The cartilage was harvested from the nasal septum or the aural concha. Patient candidates for this procedure include those undergoing primary rhinoplasty, secondary rhinoplasty, and reconstruction of the traumatized nose. The authors described their technique and provided preoperative and postoperative photographs of patients who underwent the procedure. Specific anatomic areas where they found cartilage grafts to be useful included: glabellar nasion, dorsum, supratip, ala, tip, nasolabial groove, and premaxilla. The supratip defect was their most common indication for using this technique. They also found that elevating a depressed or deep nasolabial groove with a cartilage graft in conjunction with rhinoplasty gave patients a more youthful appearance. The premaxilla grafts enhanced nasal

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