ENT Updates

Clinical Research

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

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https://doi.org/10.32448.%20entupdates.835676
Yaseen Albar, N., Rida Abuzinadah, H., & Johannes Lorenz, K. (2020). Fibrinogen-Thrombin Coated Collagen Sponge (TachoSil®) Usage in Rhinoplasty: Our Experience. ENT Updates, 10(3). https://doi.org/10.32448. entupdates.835676
Volume 10 Issue 3 (2020)
Copyright (c) 2020 Naif Yaseen Albar, Haythem Rida Abuzinadah, Kai Johannes Lorenz
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Naif Yaseen Albar
    Department of Otorhinolaryngology, Head and Neck Surgery, King Abdulaziz University College of Medicine. Rabigh, Saudi Arabia; Department of Otorhinolaryngology, Head and Neck Surgery, German Armed Forces Hospital, Ulm, Germany
  • Haythem Rida Abuzinadah Department of Otorhinolaryngology, Head and Neck Surgery, German Armed Forces Hospital, Ulm, Germany; Department of Otorhinolaryngology, Head and Neck Surgery, King Abdulaziz University College of Medicine and King Abdulaziz University Hospital, Jeddah, Saudi Arabia
  • Kai Johannes Lorenz Department of Otorhinolaryngology, Head and Neck Surgery, German Armed Forces Hospital, Koblenz, Germany

Objective: There are multiple techniques to obtain a reasonable augmentation and filling of the nasal dorsum and ensure a smooth and harmonic nasal dorsum in rhinoplasty. This article will discuss our results of applying fibrinogen and thrombin coated collagen patch named TachoSil® in various rhinoplasties, with or without using an additional bone or cartilage graft.

Material and Methods: We retrospectively analyzed the preoperative and six months postoperative clinical data as well as the overall satisfaction of a total of 78 patients who were applied TachoSil® during their rhinoplasties between Jan 2016 and July 2019.

Results: Rhinoplasties were all performed with a closed approach. 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 nasal retouching was performed in 17% of patients because of dissatisfaction.

Conclusion: In addition to its significant hemostatic role, TachoSil® is considered a safe, effective, and easy method to be applied for graft fixation in Augmentation rhinoplasties, to conceal the nasal dorsum irregularities, to fill and support soft tissue in patients with thin nasal skin.

Keywords:

Augmentation Rhinoplasty Autografts Cartilage Cosmetic techniques Hemostatic Technics