scholarly journals How to Prevent Costal Cartilage Graft Warping in Secondary Correction of Cleft Lip Nasal Deformity

2017 ◽  
Vol 26 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Hung-Chang Chen ◽  
Cheng-I Yen ◽  
Shih-Yi Yang ◽  
Yen-Chang Hsiao
Keyword(s):  
Cleft Lip ◽  
Costal Cartilage ◽  
Donor Site ◽  
Cartilage Graft ◽  
Onlay Graft ◽  
Dorsal Onlay ◽  
Costal Graft ◽  
Onlay Grafts ◽  
Costal Cartilage Graft

Introduction: Autologous costal cartilage dorsal onlay graft is widely used for dorsum and radix augmentation in secondary cleft lip nasal rhinoplasty. The most common drawback of costal cartilage dorsal onlay graft is warping. The purpose of this article is to describe our chimeric autologous costal cartilage graft technique, which prevents warping significantly. “Chimeric” means the combination of 2 different tissues (bone and cartilage) to make a single dorsal onlay graft. Patients and Methods: From June 2011 to June 2014, 16 cleft lip patients who underwent rhinoplasty and needed dorsal onlay grafts with costal cartilage graft using the chimeric autologous costal graft method were identified. All patients were operated by the corresponding author. Patients’ nasal profiles were documented and photographed preoperatively and postoperatively. Result: There were 5 males and 11 females with ages ranging from 20 to 52 years (averaging 29.5 years). There were 14 unilateral and 2 bilateral cleft lips. The average follow-up time was 12.1 months. Six patients received revision surgery, including 1 (6%) warping and 5 (30%) revisions. All patients were harvested rib cartilage graft as cartilage donor and there was no complication with the donor site. Conclusion: From the clinical observation of all patients during the follow-up period, this technique is effective for preventing cartilage warping.

The Versatile Autogenous Rib Graft in Septorhinoplasty

1998 ◽  
Vol 12 (3) ◽  
pp. 221-228 ◽  
Author(s):  
David A. Sherris ◽  
Eugene B. Kern
Keyword(s):  
Costal Cartilage ◽  
Cartilage Graft ◽  
Cartilage Grafts ◽  
Conchal Cartilage ◽  
Revision Rhinoplasty ◽  
Dorsal Onlay ◽  
Harvest Techniques ◽  
Onlay Grafts ◽  
Graft Resorption ◽  
Costal Cartilage Graft

In the graft depleted revision rhinoplasty patient and the patient with major tissue needs, alternatives to septal and conchal cartilage grafts are needed. The costal cartilage graft and rib bone/costal cartilage combination graft are excellent alternatives. In this study 14 patients received 40 grafts from 20 autogenous ribs harvested during septorhinoplasty. Materials were harvested for use as septal replacement grafts, cantilevered grafts, dorsal onlay grafts, columellar struts, and tip grafts. Patient followup was 6 to 31 months, and no evidence of graft resorption or warpage was evident during that period. Complications of harvest were minimal, and harvest techniques are detailed.

scholarly journals Autologous Costal Cartilage Graft—A New Method to Treat Articular Cartilage Defects: Case Report and Note of Surgical Technique

Joints ◽  
2018 ◽  
Vol 06 (04) ◽  
pp. 246-250
Author(s):  
Antonio Gigante ◽  
Marco Cianforlini ◽  
Luca Farinelli ◽  
Riccardo Girotto ◽  
Alberto Aquili
Keyword(s):  
Articular Cartilage ◽  
Femoral Condyle ◽  
Costal Cartilage ◽  
Donor Site ◽  
Standard Technique ◽  
Cartilage Defects ◽  
Cartilage Graft ◽  
Full Thickness ◽  
Articular Cartilage Defects ◽  
Costal Cartilage Graft

AbstractFull-thickness articular cartilage defects do not heal spontaneously. Several techniques have been developed to address this issue, but none resulted in the restitutio ad integrum of the articular cartilage. The most frequent sites of chondral lesion in the knee are medial femoral condyle and patella. The patellofemoral lesions are characterized by outcomes that are generally worse than those of tibiofemoral ones. To date, it has been well recognized the chondrogenic potential of rib perichondrium, and costal cartilage grafts have been extensively used in reconstructive surgery. Considering the need to find a gold standard technique to restore articular defect, we developed and here described a new technique to repair cartilage lesions of the knee using autologous costal cartilage graft with its perichondrium. This innovative surgical approach can be used to treat full thickness articular defects using autologous hyaline cartilage, making it possible to cover wide defects. This one step technique is low invasive, not technically demanding with minimal donor site morbidity and it has low costs. The long-term clinical efficacy of the method remains to be evaluated.

scholarly journals Reconstruction Of Noe Fracture With Immediate Diced Costal Cartilage Grafting: A Case Series

2019 ◽  
Vol 5 (2) ◽  
pp. 220-225
Author(s):  
Kristaninta Bangun ◽  
Muhammad Iqbal Maulana ◽  
Teuku Nanda Putra
Keyword(s):  
Demographic Data ◽  
Costal Cartilage ◽  
Case Series ◽  
Cartilage Graft ◽  
Nasal Tip ◽  
Syringe Needle ◽  
Cartilage Grafting ◽  
Diced Cartilage ◽  
Costal Cartilage Graft

Background : Naso-orbital-ethmoid (NOE) fracture is one of the common injury and the management remains difficult and controversial due to the anatomic complexity. Severe facial deformity and dysfunction are the results from the untreated injury. Moreover, the results from many procedures are not aesthetically satisfying. Meanwhile diced cartilage graft popularity is increasing in order to correct nasal deformity whether post trauma, revision (secondary) rhinoplasty or cleft nose. The procedure is less time consuming, easy to perform and also highly malleable. Methods : This study presents our experience in managing four patients with NOE fracture using costal cartilage graft technique immediately after injury. A columellar V-shaped incision was made, the finely diced cartilage harvested from the eight rib was injected to the glabella, dorsum and nasal tip using one cc syringe needle with cut tip. Demographic data were obtained from the patients’ medical record. Post-operative results were observed.  Result: The four surgeries were done, with average 5.75 (range, 2-9) days after injury. During the observation, nasal tip misalignment was observed in only one patient. Diced cartilage were not visible through the skin, although it could be palpable. No cartilage extrusion were occurred. After averange follow up 10.25 mo (range 8-12 mo) All patients were satisfied with their facial appearance. Conclusion: The fracture of NOE can be manage with immediate diced costal cartilage graft, since this treatment can achieve a normal facial function and appearance. The complications are low and manageable, making it as serious contender technique of choice in managing NOE fracture to other techniques. Keywords: NOE fracture, diced costal cartilage graft, facial fracture

Anthropometric Analysis of Secondary Cleft Lip Rhinoplasty Using Costal Cartilage Graft

2019 ◽  
Vol 30 (8) ◽  
pp. 2464-2468
Author(s):  
Wael M. Talaat ◽  
Mohamed M. Ghoneim ◽  
Yasser M. El-Shikh ◽  
Sherif I. Elkashty ◽  
Mohammed A.G. Ismail ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Costal Cartilage ◽  
Cartilage Graft ◽  
Costal Cartilage Graft

Correction of Upturned Nasal Tip With a Costal Cartilage Graft in Bilateral Cleft Lip Patients

2014 ◽  
Vol 25 (5) ◽  
pp. e443-e445 ◽  
Author(s):  
Yoshiyuki Mori ◽  
Tsuyoshi Takato ◽  
Kazuto Hoshi ◽  
Yuki Kanno ◽  
Madoka Sugiyama ◽  
...  
Keyword(s):  
Cleft Lip ◽  
Costal Cartilage ◽  
Cartilage Graft ◽  
Nasal Tip ◽  
Bilateral Cleft Lip ◽  
Costal Cartilage Graft

scholarly journals Maxillonasal dysplasia (Binder′s syndrome) and its treatment with costal cartilage graft: A follow-up study

2008 ◽  
Vol 41 (02) ◽  
pp. 128-132
Author(s):  
C. Yogesh Bhatt ◽  
Kinnari A. Vyas ◽  
S. Tandale Mangesh ◽  
S. Panse Nikhil ◽  
S. Bakshi Harpreet ◽  
...  
Keyword(s):  
Costal Cartilage ◽  
Dental Occlusion ◽  
Cartilage Graft ◽  
Follow Up Study ◽  
Congenital Condition ◽  
External Rhinoplasty ◽  
Nasal Augmentation ◽  
Costal Cartilage Graft ◽  
Made In

ABSTRACTMaxillonasal dysplasia or Binder′s syndrome is an uncommon congenital condition characterized by a retruded mid-face with an extremely flat nose. We report here six patients with maxillonasal dysplasia whose noses were corrected with onlay costal cartilage grafts using a combined oral vestibular and external rhinoplasty approach for nasal dorsal augmentation, columellar lengthening, and premaxillary augmentation. The cartilage graft was dipped in a solution of 100 ml 0.9% NaCl and one vial (80mg) gentamicin for 30 min to prevent warping. L struts made for nasal augmentation, columellar lengthening, and premaxillary augmentation were fixed to one another by slots made in the graft. This technique has been used in children, adults, and for secondary cases with promising results. All patients were of class I dental occlusion. The nasal and premaxillary augmentation which was monitored by serial photography was found to be stable over a follow-up period of three years

scholarly journals Maxillonasal dysplasia (Binder's syndrome) and its treatment with costal cartilage graft: A follow-up study

2008 ◽  
Vol 41 (2) ◽  
pp. 151 ◽  
Author(s):  
YogeshC Bhatt ◽  
KinnariA Vyas ◽  
MangeshS Tandale ◽  
NikhilS Panse ◽  
HarpreetS Bakshi ◽  
...  
Keyword(s):  
Costal Cartilage ◽  
Cartilage Graft ◽  
Follow Up Study ◽  
Costal Cartilage Graft
Sign in / Sign up

Export Citation Format

Share Document