Utilization of a partial rib-sparing procedure in microvascular breast reconstruction for preserving intercostal nerve and nipple reconstruction

Tokumoto, Hideki; Akita, Shinsuke; Kosaka, Kentaro; Kubota, Yoshitaka; Mitsukawa, Nobuyuki

doi:10.1016/j.bjps.2022.08.041

Cited by 2 publications

(2 citation statements)

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“…Breast reconstruction: Costal cartilage grafts can also be used in breast reconstruction surgery to help create a natural-looking breast mound. The cartilage can be used to provide additional support and contour to the breast tissue [6];…”

Section: Introductionmentioning

confidence: 99%

“…Despite the well-known drawbacks of this surgical technique, there is ongoing debate in literature. Bone grafts are also described in literature, mainly in combination with cartilage graft to ensure reconstruction of great deformity and represent a more difficult method with a higher complication rate, reserved only for selected cases [5][6][7][8][9][10][11][12][13]. The aim of this study is to illustrate a minimally invasive technique, effective at harvesting costal cartilage and useful in guaranteeing minimally unaesthetic surgical scars.…”

Section: Introductionmentioning

confidence: 99%

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Minimally Invasive Harvesting Technique for Costal Cartilage Graft: Donor Site, Morbidity and Aesthetic Outcomes

Committeri

Arena

Carraturo

et al. 2023

JCM

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Cartilage grafts are well-known as being reliable in reconstructive surgery for craniofacial pathologies. The aim of this study is to describe a new technique which requires an incision smaller than 1.5 cm but is still effective for harvesting cartilage graft. Thirty-six patients who underwent costal cartilage harvesting for septorhinoplasty have been included in this study, admitted from January 2018 to December 2021. Out of 36 patients, 34 have not reported any major complications, and two cases were followed up for pneumothorax. There were no infections and no chest wall deformities. All patients reported minimal pain at the donor site. The Vancouver Scar Scale was used to evaluate the entity of the postoperative scarring phenomena. This scale total ranges from 0 (representing normal skin) to a maximum score of 13 (representing worst scar imaginable). The results were 1.53 SD ± 0.64 (on average) 1 week after the surgical procedure and 1.28 SD ± 0.45 (on average) at the 6 months follow-up. This minimally invasive method provided a valid and effective surgical technique for cartilage graft. Despite the limitations of the case series, it seems that this procedure might be comparable to other and well-established traditional procedures and could be even preferred when the minimal invasiveness is mandatory.

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Section: Introductionmentioning

confidence: 99%