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 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.

Auricular Cartilage Grafts in Laryngotracheal Reconstruction

1993 ◽  
Vol 102 (4) ◽  
pp. 247-254 ◽  
Author(s):  
Rodney P. Lusk ◽  
D. Richard Kang ◽  
Harlan R. Muntz
Keyword(s):  
Costal Cartilage ◽  
Subglottic Stenosis ◽  
High Rate ◽  
Cartilage Graft ◽  
Auricular Cartilage ◽  
Successful Management ◽  
Cartilage Grafts ◽  
Laryngotracheal Reconstruction ◽  
Rate Of Success ◽  
Costal Cartilage Graft

Introduction of the anterior cricoid split (decompression) and laryngotracheal reconstruction with costal cartilage graft has resulted in the successful management of many cases of subglottic stenosis. However, the procedure does not allow uniform extubation, and laryngotracheal reconstruction with costal cartilage may be too aggressive for neonates. We have explored the use of autogenous auricular cartilage graft in laryngotracheal reconstruction. Its high rate of success and low morbidity have enabled us to expand the indications. We report our experience in 23 patients with auricular cartilage grafts.

scholarly journals Harvesting split thickness costal cartilage graft

2017 ◽  
Vol 50 (01) ◽  
pp. 079-081 ◽  
Author(s):  
Sunil Gaba ◽  
Richa Gupta ◽  
Bharat Mishra ◽  
Daisy Sahni
Keyword(s):  
Costal Cartilage ◽  
Clinical Results ◽  
Cartilage Graft ◽  
Full Thickness ◽  
Cartilage Grafts ◽  
Rib Cartilage ◽  
Post Operative Pain ◽  
Costal Cartilage Graft

ABSTRACT Aim: There are few complications associated with harvesting of full thickness coastal cartilage grafts i.e., pneumothorax (0.9%), contour deformities and prolonged post-operative pain. To address these issues, authors devised special scalpel to harvest split-thickness costal cartilage grafts. Materials and Methods: Standard inframammary incision was used for harvesting rib. Incision was made directly over the desired rib. Specially designed scalpel was used to cut through the rib cartilage to the half of the thickness. The study was conducted in two parts – cadaveric and clinical. Results: There was significantly less pain and no pneumothorax in the patients in whom the split thickness graft was harvested. Wounds healed without any complication. Discussion: Thus, newly devised angulated scalpel used in the current study, showed the potential to supply the reconstructive surgeon with split thickness rib graft without risk of complications such as pneumothorax or warping contour deformities and post-operative pain.

Prevention of Autologous Costal Cartilage Graft Warping in Secondary Rhinoplasty

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Connor McGuire ◽  
Osama A. Samargandi ◽  
Colton Boudreau ◽  
Ashley Whelan ◽  
Michael Bezuhly
Keyword(s):  
Costal Cartilage ◽  
Cartilage Graft ◽  
Secondary Rhinoplasty ◽  
Costal Cartilage Graft

Microtia Repair

2019 ◽  
pp. 461-470
Author(s):  
Melissa Kanack ◽  
Catherine Tsai ◽  
Amanda Gosman
Keyword(s):  
Skin Graft ◽  
Costal Cartilage ◽  
Ear Reconstruction ◽  
External Ear ◽  
Cartilage Graft ◽  
Associated Anomalies ◽  
Ear Canal ◽  
Genetic Syndrome ◽  
Definition Of ◽  
Costal Cartilage Graft

Microtia may occur as an isolated finding or in conjunction with other associated anomalies or a genetic syndrome. Ear reconstruction for these patients is typically performed no earlier than 6 years of age. In this chapter, a staged autogenous method of ear reconstruction is described using costal cartilage. In the first stage, a costal cartilage graft is harvested and placed. The next stages involve lobule transposition, detachment of the auricle with placement of a posterior skin graft, and further refinement of the external ear landmarks with tragus creation and definition of the conchal bowl and ear canal.

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.

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