Versatile Applications of the Polydioxanone Plate in Rhinoplasty and Septal Surgery

Figure 1. Cartilaginous septum fixed to a polydioxanone plate after dividing it along fracture lines. A “tail” of polydioxanone plate is left posteriorly for fixation.

Figure 2. Preoperative (A-D) and postoperative (E-H) photographs of a 21-year-old patient with ongoing deformity and nasal obstruction after a septorhinoplasty.

Figure 3. Polydioxanone “sandwich” with 2 pieces of conchal cartilage secured end-to-end to form a columellar strut of sufficient length. A, Cartilage pieces in place. B, Columellar strut after suturing.

Figure 4. Preoperative (A) and 1-year postoperative (B) photographs of a patient with “cleft lip nose” and an underprojected tip.

Figure 5. A, Alar batten graft using 2 pieces of conchal cartilage fixed to a polydioxanone plate; B, the natural curve of the conchal cartilage is similar to that of the alar cartilage.

Figure 6. Preoperative (A-D) and 1-year postoperative (E-H) photographs of a 40-year-old woman who underwent revision extracorporeal septorhinoplasty using perforated polydioxanone plate.

Figure 7. Preoperative (A-D) and 1-year postoperative (E-H) photographs of a 31-year-old patient with a collapsed dorsum and saddling secondary to resorption of the caudal and dorsal septum after previous septoplasty.

Figure 8. Spreader graft fixed to the cartilage-polydioxanone template extracorporeally. Lateral view (A) and superior view (B).

Figure 9. Caudal end of a severely deviated septum after removal and suturing to a polydioxanone plate, leaving a “tail” for fixation to the proximal septum.

Figure 10. Preoperative (A and B) and postoperative (C and D) photographs of a patient with a dislocated caudal septum secondary to trauma.

Figure 11. An “island” of conchal cartilage fixed to a larger polydioxanone plate to facilitate fitting into a cartilage defect when repairing a septal perforation.