Use Of Fascia Lata Graft Research Articles

The Role of Fascia Lata Graft in Treatment and Camouflage of Nasal Dorsum Irregularities

AbstractBackground: Nasal dorsal irregularities after rhinoplasty are troublesome for both patient and surgeon, especially in patients with thin dorsal skin, which may be seen after improper hump reduction and multiple surgeries. Many types of grafts have been used for nasal contouring, augmentation and cam-ouflage as diced cartilage, fascia, dermal grafts, alloderm and banked allograft.Methods: We report the use of Fascia Lata (FL) graft for dorsalcontouring and camouflage in 20 patients who underwent rhinoplasty between May 2015 to September 2016. There were 12 male and 8 female patients, with ages ranging from 18 to 43 years (mean age: 30.35). Of the 20 patients, 12 underwent primary rhinoplasty, while 8 were secondary cases. An informed consent was obtained from all patients for the use of FL graft. The graft was harvested from the right lateral thigh. A simple method was used to placethe graft over the nasal dorsum. Post-operative follow-up period was 16 months. Clinical evaluation was made by inspection, palpation and photographic documentation.In addition, a questionnaire related to patient satisfaction and donor-site morbidity.Results: All patients had satisfactory aesthetic results, andno apparent irregularities were observed over the nasal dorsum. The questionnaire resultsshowed that all patients, but one, were satisfied with surgery, and were not concerned aboutdonor-site scar; however, one patient had donor-site morbidity.Conclusions: This study conclusively shows that it is a reliable, simple method for camouflaging any post-operative dorsalirregularities, particularly in patients with thin nasal skin.

Fibrin glue and fascia lata graft for management of cerebrospinal fluid leakage after cranial surgery, preliminary results

Objective The purpose of this study is to evaluate the efficacy of fibrin glue and fascia lata graft as a substitute for dural repair in postoperative cerebrospinal fluid (CSF) leak after cranial surgery. Background Postoperative CSF leakage is a common complication after many cranial and spinal operations. Several methods are used for repair of dural tears to stop CSF leak; one of these methods is to use fibrin glue with autologous graft - for example, fascia lata - for repair. Materials and methods A total of 12 cases with postoperative CSF leak after cranial surgery were observed and managed in the period from June 2010 to December 2012. In all, four cases were meningiomas and eight cases were gliomas. Male-to-female ratio was 5 : 7 and mean age was 56.8 years. All cases underwent secondary surgery to manage the CSF leak by fascia lata graft and fibrin glue. Mean duration of follow-up was 9.8 months (range 6-20 months). Computed tomography brain with and without contrast was performed to determine the presence of CSF leaks between 2 weeks and 3 months after surgery. Results No CSF fistula was found in all patients. No adverse effects or complications such as wound infection or neurological impairment were encountered postoperatively. Follow-up computed tomography brain revealed no evidence of CSF leakage. Conclusion The use of fascia lata graft and fibrin glue is a useful and effective method in controlling CSF leakage after cranial surgery.

Autologous Fascia Lata Graft for Contour Restoration and Camouflage in Tertiary Rhinoplasty

Tertiary rhinoplasty is a surgical procedure to correct nasal deformities that have been developed after prior unsuccessful surgeries. Such surgery requires complicated manipulations and tissue grafting for proper restoration. In the current study, we report the use of fascia lata graft combined with cartilage grafts for contour restoring and camouflage. Twenty-three patients who had severe nasal deformities were included, of whom 14 were men and 9 were women. Their ages ranged between 24 and 34 years (mean, 29 y). All patients were twice previously operated on by surgeons other than the authors. An informed consent was obtained from all patients. After harvesting the costal cartilage, the fascia lata graft (mean size, 2-3 cm) was uniformly harvested from the right lateral thigh. Application of the fascia lata and the cartilage graft was achieved through the open rhinoplasty incision. The fascia lata was applied over the cartilage in the dorsal region in 20 patients (86.9%), applied over the reconstructed alar and dome area in the nasal tip in 8 patients (34.7%), and applied over both areas simultaneously in 4 patients (17.3%). Postoperative follow-up was between 14 and 35 months (mean, 24.5 mo); clinical evaluation, photographic documentation, and a questionnaire form related to donor-site morbidity and patient satisfaction were applied after 12 months of the follow-up period. Results showed that all patients had an improved aesthetic result, and no apparent irregularities were observed in the integument of the aesthetic lines. No complications or no requirement for revision surgery was observed later on. In conclusion, refinements of the nasal dorsum and the nasal tip in tertiary rhinoplasty are indeed important and difficult to be managed. Placing the fascia lata over the applied cartilage grafts provide a good cover that conceals the possible irregularities or distortions that may appear in the late postoperative period.

Fascia lata graft for nasal dorsal contouring in rhinoplasty

Nasal dorsal irregularities are troublesome for both patient and surgeon, especially in patients with thin nasal dorsal skin. Many types of grafts have been used for nasal contouring; however, in this article, we report the use of fascia lata (FL) graft for dorsal contouring and camouflage in 63 patients who underwent rhinoplasty between May 2004 and December 2005. There were 26 male and 37 female patients, with ages ranging from 18 to 43 years (mean age: 28.7). Of the 63 patients, 49 underwent primary rhinoplasty, while 14 were secondary cases. An informed consent was obtained from all patients for the use of FL graft. The graft was harvested from the right lateral thigh. A simple method was used to place the graft over the nasal dorsum. Postoperative follow-up period was between 14 and 26 months (mean: 20). Clinical evaluation was made by inspection, palpation and photographic documentation. In addition, a questionnaire related to patient satisfaction and donor-site morbidity was sent to patients 1 year after surgery. All patients had satisfactory aesthetic results, and no apparent irregularities were observed over the nasal dorsum. The questionnaire results showed that all patients, but one, were satisfied with surgery, and were not concerned about donor-site scar; however, one patient had a donor-site morbidity. This study conclusively shows that TLF graft is a reliable, simple method for camouflaging any postoperative dorsal irregularities, particularly in patients with thin nasal skin.