Naif Yaseen ALBAR, Haythem Rida ABUZİNADAH, Kai Johannes LORENZ

Fibrinogen-Thrombin Coated Collagen Sponge (TachoSil®) Usage in Rhinoplasty: Our Experience

Objective: There are multiple techniques to obtain a reasonable augmentation and filling of the nasal dorsumand ensure a smooth and harmonic nasal dorsum in rhinoplasty.This article will discuss our results of applying fibrinogenand thrombin coated collagen patch named TachoSil® invarious rhinoplasties, with or without using an additionalbone or cartilage graft.Material and Methods: We retrospectively analyzed thepreoperative and six months postoperative clinical dataas well as the overall satisfaction of a total of 78 patientswho were applied TachoSil® during their rhinoplasties between Jan 2016 and July 2019.Results: Rhinoplasties were all performed with a closedapproach. No postoperative bleeding and no allergic reactions to TachoSil® were reported. Two patients presented on the 10th postoperative day with nasal dorsum abscess. 83% of the patients were satisfied, whereas nasalretouching was performed in 17% of patients because ofdissatisfaction.Conclusion: In addition to its significant hemostatic role,TachoSil® is considered a safe, effective, and easy methodto be applied for graft fixation in Augmentation rhinoplasties, to conceal the nasal dorsum irregularities, to filland support soft tissue in patients with thin nasal skin.

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