Conservative Costal Cartilage Harvest for Revision Septorhinoplasty

Boyaci, Zerrin; Çelik, Osman; Ateşpare, Altay; Koca, Öncel

doi:10.1097/scs.0b013e318280254a

Cited by 13 publications

(12 citation statements)

References 16 publications

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“…4 Breach of the pleura without pneumothorax was more common and reported in 10 cases. [5][6][7] Only 3 studies routinely performed postoperative chest radiographs to assess for pneumothorax. 3,7,8 A diagram of a pleural tear is shown in Figure 1.…”

Section: Donor Site Complicationsmentioning

confidence: 99%

“…The typical site for a costal cartilage harvest is shown in Figure 3. An inframammary incision was also selected in females in several studies 3,5,7,8,10,14,17,20,21 for cosmetic benefit in concealing the scar. The most common technique described to check for a pneumothorax entailed filling the wound with saline or water and inducing positive pressure ventilation to check for bubbling (see Table 3).…”

Section: Graft Harvestmentioning

confidence: 99%

“…A conservative harvesting technique, whereby only a central segment of costal cartilage is removed, has been described. 5,14…”

Section: Graft Harvestmentioning

confidence: 99%

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Complications Associated With the Use of Autologous Costal Cartilage in Rhinoplasty: A Systematic Review

et al. 2015

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Section: Donor Site Complicationsmentioning

confidence: 99%

Section: Graft Harvestmentioning

confidence: 99%

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Complications Associated With the Use of Autologous Costal Cartilage in Rhinoplasty: A Systematic Review

et al. 2015

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“…28 A smaller amount of cartilage harvest has also been described such that only a triangular prism-shaped wedge of cartilage is excised from the anterior wall of the rib. 29 Therefore, all the walls of the rib remain intact, except for the anterior wall from which the cartilage specimen was removed. This technique can exposure is obtained, surgical markings are either drawn or confirmed, and the soft tissues are infiltrated using lidocaine with epinephrine.…”

Section: Donor Site Preservationmentioning

confidence: 99%

43 Costal Cartilage Harvest and Preparation for Rhinoplasty

Papel¹,

Frodel²,

Holt³

et al. 2016

Facial Plastic and Reconstructive Surgery

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AnatomyThe costal cartilages are extensions of hyaline cartilage from the anterior ends of the ribs and contribute to the elasticity of the thoracic wall ( Fig. 43.1). Each of the 12 paired ribs articulate posteriorly with the respective thoracic vertebrae. Anteriorly, the first seven pairs of ribs, also known as true ribs, attach directly to the sternum through their respective costal cartilages. Typically the costal cartilages of ribs six and seven have an intercostal attachment. The remaining five pairs of ribs (8 through 12) either have an indirect attachment or no attachment to the sternum, and are known as the false ribs. 8,9,10 Conventionally, the costal cartilages of ribs 8, 9, and 10 are described as being attached to the costal cartilages of ribs 7, 8, This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.

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“…Various costal cartilage harvesting and carving techniques have been introduced to overcome the aforementioned disadvantages. With such efforts, both donor-site morbidity and warping have decreased significantly [13][14][15][16][17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

10th Rib Cartilage: Another Option of the Costal Cartilage Graft for Rhinoplasty

Kim

Song

Park

et al. 2015

Arch Aesthetic Plast Surg

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Background The costal cartilage allows for versatile and stable cartilage supply for rhinoplasty but disadvantages remain; to minimize these, the 10th costal cartilage was used. We present our experience with the use of the 10th costal cartilage as autologous graft material for rhinoplasty. Methods Sixty-four patients whose 10th costal cartilage had been used for correction of severe caudal nasal deviation, secondary cleft lip nasal deformity, and secondary rhinoplasty with difficulty using the septal and auricular cartilages were enrolled in this study from November 2008 to December 2012. To evaluate the efficacy and safety of this method in rhinoplasty, donor-site morbidity, scarring, and postoperative results, including availability of graft material and complications, were assessed. Results The mean time for cartilage harvesting was 18 minutes, and the mean length of the harvested cartilage was 2.4 cm. The harvested cartilage was used for columellar struts and tip onlay grafts. The natural curvature of the 10th costal cartilage was used, depending on the purpose of the strut. It could be applied without carving in 38 cases (59%). Although revision was performed in three patients, there were no graft-related complications. Conclusions The 10th costal cartilage can be harvested safely and quickly, and its handling procedure is simple. As such, it is a good option as an autologous graft for rhinoplasty.

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Conservative Costal Cartilage Harvest for Revision Septorhinoplasty

Abstract: The described technique is very safe and minimizes donor-site morbidity. In addition, it allows the acquisition of nonepithelialized dermal graft and muscle fascia for soft tissue reconstruction.

Cited by 13 publications

References 16 publications

Complications Associated With the Use of Autologous Costal Cartilage in Rhinoplasty: A Systematic Review

Complications Associated With the Use of Autologous Costal Cartilage in Rhinoplasty: A Systematic Review

43 Costal Cartilage Harvest and Preparation for Rhinoplasty

10th Rib Cartilage: Another Option of the Costal Cartilage Graft for Rhinoplasty

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