Autologous external nasal tissues for secondary rhinoseptoplasty

Objective. To analyze the methods and indications for autologous external nasal tissues in secondary rhinoseptoplasty. Material and methods. We reviewed 49 articles devoted to various methods of harvesting and techniques for autologous external nasal tissues in secondary rhinoseptoplasty. Results. Cartilaginous part of nasal septum, when preserved after previous surgeries, is preferable material for nasal reconstruction. Understanding the anatomical features of nasal septum is valuable to select the most suitable donor site for graft harvesting. Proper techniques for septal cartilage to obtain necessary grafts for reconstructive purposes allow for preservation of structural integrity of nasal septum and harvesting of sufficient material for nose recovery. Moreover, there is no need for additional grafts from other anatomical areas, such as costal or auricular cartilage. This minimizes trauma, eliminates the need for additional incisions in other areas and reduces surgery time. When extent of correction and available tissues match, autologous tissues become the best option, as they ensure high aesthetic and functional outcomes. Conclusion. Septal cartilage is easy to harvest and shape, possesses necessary strength for structural support, has optimal thickness and structural integrity. It is less prone to deformation and infection. Accurate preoperative assessment of necessary grafts allows for nasal reconstruction without additional donor sites. This significantly reduces surgical trauma and facilitates postoperative recovery.