Print ISSN: 1683-3589

Online ISSN: 2409-501X

Keywords : graft


EVALUATION OF SEPTAL EXTENSION GRAFT IN RHINOPLASTY

HUSAM M ALAAMER

Basrah Journal of Surgery, 2019, Volume 25, Issue 2, Pages 95-100
DOI: 10.33762/bsurg.2019.164529

Septal extension graft is a unique technique for controlling nasal lengthening and tip projection, rotation, and shape by which a graft is fixed to the septum, leading to a strong and stable supporting structure. Nasal tip three-dimensional positioning is a vital and difficult component in the overall appearance of the tip.
 A total of 12 Middle Eastern patients with thick nasal envelope skin were subjected to rhinoplasty using the septal extension graft (SEG) method.
 Eleven out of the 12 patients, had pleasing results after primary rhinoplasty with SEG, while only one patient  had SEG as a secondary procedure.
 In conclusion, septal extension graft in rhinoplasty is an effective technique for achieving a strong supporting force of the nasal tip for adequate projection.
Keywords: Nasal tip, surgery, septal extension, graft, rhinoplasty

COLUMELLAR STRUT GRAFT IN TIP RHINOPLASTY, IS IT OF BENEFIT?

Al-Abbasi Ahmed; Muhanad Abass A Zahra; Haider K Saeed

Basrah Journal of Surgery, 2019, Volume 25, Issue 1, Pages 16-21
DOI: 10.33762/bsurg.2019.163759

Abstract Strut graft is an important, commonly used method to increase nasal tip projection and rotation. This study discuss its benefit by prospective analysis of a group of patients in which strut graft was used and compare it with a control group using digitalized photographs. The aim of this study is to evaluate the benefit of columellar strut graft and its effect on nasal projection and rotation using digital images. Thirty two patients were treated with external rhinoplasty. Using their photographs, we analyzed the projection and rotation of the nose before and after operation. The patients were classified into two groups: group A included 18 patients who have strut and group B included 14 patients without strut. The analysis of the photos of the two groups was done with a computer program. By using Goode method, nasal tip projection decreases from 0.63 to 0.62 for patients using the strut, while in patients without strut nasal tip projection decreases from 0.64 to 0.61. Nasal tip rotation slightly increased in patients with strut graft from 99 to 99.5 degrees, while in those without the graft, nasal tip rotation markedly increased from 95 to 103 degrees. In conclusion, external rhinoplasty decreases nasal tip projection and the use of strut graft is unnecessary in increasing nasal tip projection but it helps in preserving the projection and slightly increasing nasal tip rotation. Keywords: Rhinoplasty, Graft, Strut, Columella, Nasal, Projection, Rotation

8-AURICULAR RECONSTRUCTION BY COSTAL CARTILAGE GRAFT IN BASRAH PROVENCE

JABIR R HAMEED

Basrah Journal of Surgery, 2009, Volume 15, Issue 2, Pages 49-55
DOI: 10.33762/bsurg.2009.55611

Auricular reconstruction represents a meticulous reconstructive and aesthetic problem to the
plastic surgeon. One of the greatest challenges in facial plastic surgery is total ear
reconstruction. The ability to reconstruct a fully satisfactory complete external ear has for
centuries been an elusive goal. The most promising field of advances with the hope of
eventually clinical utility lies in the realm of bioengineering with cultured cartilage.
To date, no perfect material has been found to substitute for the sharply elastic cartilage
normally present in ear, the matter of total auricular reconstruction remain very complex,
Prosthetic restoration is not favored by most but does remain available option for many
patients. Tissue engineers have waited to create a precise three dimensional auricular
reconstruction neocartilage.
Ten patients were operated upon for auricular reconstruction in Basrah Alsader Teaching
Hospital. The operation had 2 stages: First stage, creation and implantation of framework
cartilage graft, which harvested from the 6th ,7th & 8th ribs. The second stage, was detachment of
the constructed auricles ear lobe transposition and post auricular sulcus was defined by
separating the constructed auricle from the head covering the under surface with a thick split
thickness skin graft.
The success rate was 90% with good and satisfactory result except in one case; there was
infection with loss of the cartilage.