Introducing "Papyrus Graft": A Versatile and Reliable Backup in Challenging Structural Rhinoplasty.

[BACKGROUND] Structural rhinoplasty is a complex surgical procedure that aims to restore and enhance nasal structure and function by reconstructing the underlying framework. Robust grafting material is required for durable results. For revision or secondary rhinoplasty cases where septal and conchal cartilage reserves are exhausted, autologous rib cartilage grafting remains the cornerstone of structural reconstruction, providing comprehensive solutions. The problem arises when the harvested costal cartilage is of little use due to widespread ossification, brittleness, and insufficient size. The "Papyrus graft" presents a novel approach and emerges as a promising solution to address these limitations and achieve effective and sustainable results when other grafts are either in short supply or found to be useless.

[MATERIALS AND METHODS] A retrospective study was conducted on patients who underwent structural rhinoplasty using the "Papyrus graft" between 2018 and 2024. Data collected included patient demographics, graft survival, surgical outcomes, and complications.

[RESULTS] Papyrus grafts showed a high success rate in achieving desired nasal shape and structural integrity with significant improvement in nasal shape and patient satisfaction. A total of 18 patients (13 females and 5 males) with a mean age of 29.8 years were included in the study. No major complications noted.

[CONCLUSION] The "Papyrus graft" offers a breakthrough in structural rhinoplasty, providing a robust, reliable, and versatile grafting solution. Its use can enhance outcomes and expand possibilities in nasal reconstruction, especially in hopeless situations when surgeon falls short of usable cartilage grafts.

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