Utilization of Tutopatch® bovine pericardium xenograft for nasal dorsum augmentation in primary and secondary rhinoplasties

Abstract

Objectives: The aim of this study was to present the utilization of Tutopatch® bovine pericardium xenograft for nasal dorsumaugmentation and/or camouflage in primary and secondary rhinoplasties.Patients and Methods: Between January 2017 and July 2019, the Tutopatch® bovine pericardium was used for nasal dorsum orglabellar augmentation in eight patients (3 males, 5 females: mean age 35 years; range, 25 to 43 years) and used for camouflage insix patients (1 male, 5 females; mean age: 30 years; range, 27 to 38 years) having rhinoplasty operations. Medical data of the patientswere retrospectively analyzed. Pre- and postoperative results were compared. Degree of satisfaction was self-reported by the patients.Results: The mean follow-up was 16 (range, 6 to 24) months. Only one major complication due to the overcorrection of the nasaldorsum with a small hump was observed in a secondary rhinoplasty case necessitating further revision. Other types of complicationssuch as erythema, undercorrection, malposition, seroma, hematoma, or graft extrusion were not observed. All patients, except forthe case necessitating further revision were satisfied with the outcomes.Conclusion: Utilization of Tutopatch® bovine pericardium xenograft in wrapping the diced cartilage for nasal dorsum augmentationor as the camouflage material over the nasal dorsum and nasal tip skeleton in either primary or secondary rhinoplasty operationscan be a wise option without any adverse allergic reaction or donor site morbidity.