Rhinoplasty - Temporalis fascia

Uses

• • parchment thin skin in secondary rhinoplasty

  • smoothen contour to hide irregularities 

  • http://www.ncbi.nlm.nih.gov/pubmed/8134439

  • Dorsal augmentation, specifically in combination with diced cartilage - "autologous chondrofascial graft" 

  • http://www.ncbi.nlm.nih.gov/pubmed/22942111

    • http://www.ncbi.nlm.nih.gov/pubmed/23855009 - closed rhinoplasty 

  • Radix augmentation 

  • http://www.ncbi.nlm.nih.gov/pubmed/21476097

  • http://www.ncbi.nlm.nih.gov/pubmed/24932819

Advantages 

• • Ease of harvest 

  • Low donor site morbidity 

• Demonstrates long-term viability

  • http://www.ncbi.nlm.nih.gov/pubmed/8134439

Complications

• • Donor site hematoma 

  • http://www.ncbi.nlm.nih.gov/pubmed/22942111

  • http://www.ncbi.nlm.nih.gov/pubmed/21476097

Harvest Technique

• • YouTube by Dr. Nassif - https://www.youtube.com/watch?v=6Rl1ZHoYJ4k

  • YouTube showing multiple procedures, 2nd procedure is the facia harvest - https://www.youtube.com/watch?v=Q39cwcB2sUs

  • YouTube showing technique more classically employed in ear surgery - https://www.youtube.com/watch?v=F2CwNBYtE5Q

Grafting Technique 

• • Diced

  • http://www.ncbi.nlm.nih.gov/pubmed/25430929

  • Percutaneous sutures

  • http://www.ncbi.nlm.nih.gov/pubmed/12633214

Follow-up

• • Estimated shrinkage or resorption of ~ 20-30%

  • http://www.ncbi.nlm.nih.gov/pubmed/21476097