scholarly journals Augmentation Rhinoplasty with Rib Cartilage Graft

2015 ◽  
Vol 30 (1) ◽  
pp. 29-33
Author(s):  
Elaine Marie A. Lagura ◽  
Eduardo C. Yap ◽  
Anna Victoria G. Garcia
Keyword(s):  
Costal Cartilage ◽  
Donor Site ◽  
Cartilage Graft ◽  
Augmentation Rhinoplasty ◽  
Cartilage Grafts ◽  
Rib Cartilage ◽  
Structural Support ◽  
Alloplastic Materials ◽  
Graft Extrusion ◽  
Dorsal Nasal Augmentation

Objective: To investigate the outcome and complications of augmentation rhinoplasty with rib cartilage grafts   Methods: Study Design:            Retrospective study Setting:                       Tertiary Government Hospital Participants:              Patients who underwent dorsal nasal augmentation with autologous rib cartilage grafts between June 2008 and October 2012.   Results: A total of 12 patients (3 male, 9 female) were included in the study. Mean age was 29 years. Seven were cases of primary simple rhinoplasty with 4 cases of revision (previously using alloplastic materials) and one case of trauma. Indications for the procedure were all cosmetic. There was no incidence of infection, both in the donor and recipient sites, warping of the graft, graft extrusion, resorption, pneumothorax, chest wall deformity or prolonged edema. Post-operative pain in the donor site was relieved by oral pain medications. No revision surgery was required.   Conclusion: Costal cartilage is a good option for structural support of the nose. In our experience patients have become wary of the complication of allografts and have opted to use autografts. The surgeon’s knowledge of the nasal anatomy as well as his or her experience with autologous grafts plays a major role in avoiding post-operative morbidity. Keywords: Rhinoplasty, rib graft, costal cartilage graft, Southeast Asian nose

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.

Auricular Cartilage

2019 ◽  
pp. 91-94
Author(s):  
Ali Sajjadian
Keyword(s):  
Postoperative Pain ◽  
Donor Site ◽  
Graft Material ◽  
Cartilage Graft ◽  
Septal Perforation ◽  
Auricular Cartilage ◽  
Structural Support ◽  
First Choice ◽  
Graft Donor ◽  
Ear Cartilage

The ear is generally not a first choice as a cartilage graft donor site for several reasons, none of which is valid. When the graft is harvested anteriorly, the scar is well-concealed as long as the incision is placed within the rim of the conchal bowl. And, although no site can provide as much cartilage as the rib, the auricle can provide a surprisingly large amount of graft material. There is also characteristically minimal morbidity with the harvest of auricular cartilage. This distinguishes it from rib cartilage harvest, which may be accompanied by significant postoperative pain and occasionally pneumothorax. In addition, septal harvest may cause bleeding, saddling of the nose symptomatic of septal perforation, and other airflow disturbances. The most important and major problem with ear cartilage is the flaccidity inherent in its structure. This makes it a poor choice when significant structural support is mandatory.

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.

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.

Retrospective review of augmentation rhinoplasties using autologous cartilage grafts

2000 ◽  
Vol 114 (7) ◽  
pp. 514-518 ◽  
Author(s):  
N. Bateman ◽  
N. S. Jones
Keyword(s):  
Immune Response ◽  
Retrospective Review ◽  
Revision Rate ◽  
Graft Material ◽  
Medium Term ◽  
Augmentation Rhinoplasty ◽  
Cartilage Grafts ◽  
Alloplastic Materials ◽  
Nasal Augmentation

The use of graft materials in rhinoplasty presents many challenges for the surgeon. There are a wide variety of alloplastic materials available for nasal augmentation but the graft material of choice remains autologous cartilage. It has considerable advantages over alloplasts. It does not induce an immune response and has a very much lower rate of infection or extrusion. It is also easily harvested and sculpted and is available in plentiful supply. We present a retrospective review of 103 patients who underwent augmentation rhinoplasty using autologous cartilage grafts with a mean follow-up time of three years six months. The revision rate over the follow-up period was 15.5 per cent (n = 16). The same surgeon’s revision rate for rhinoplasty without graft over the same period was four per cent in 311 cases. We conclude that while autologous cartilage remains the best graft material available there is a significantly higher revision rate than when no graft is required. This is primarily due to the unpredictable scarring associated with the graft in the medium term and the asymmetric nature of conchal cartilage.

scholarly journals Computer-Aided Design and Rapid Prototyping–Assisted Contouring of Costal Cartilage Graft for Facial Reconstructive Surgery

2012 ◽  
Vol 5 (2) ◽  
pp. 75-81 ◽  
Author(s):  
Shu Jin Lee ◽  
Heow Pueh Lee ◽  
Kwong Ming Tse ◽  
Ee Cherk Cheong ◽  
Siak Piang Lim
Keyword(s):  
Rapid Prototyping ◽  
Computer Aided Design ◽  
Costal Cartilage ◽  
Bone Grafts ◽  
Autogenous Bone ◽  
Cartilage Graft ◽  
Facial Skeleton ◽  
Rib Cartilage ◽  
Computer Aided ◽  
Aided Design

Complex 3-D defects of the facial skeleton are difficult to reconstruct with freehand carving of autogenous bone grafts. Onlay bone grafts are hard to carve and are associated with imprecise graft-bone interface contact and bony resorption. Autologous cartilage is well established in ear reconstruction as it is easy to carve and is associated with minimal resorption. In the present study, we aimed to reconstruct the hypoplastic orbitozygomatic region in a patient with left hemifacial microsomia using computer-aided design and rapid prototyping to facilitate costal cartilage carving and grafting. A three-step process of (1) 3-D reconstruction of the computed tomographic image, (2) mirroring the facial skeleton, and (3) modeling and rapid prototyping of the left orbitozygomaticomalar region and reconstruction template was performed. The template aided in donor site selection and extracorporeal contouring of the rib cartilage graft to allow for an accurate fit of the graft to the bony model prior to final fixation in the patient. We are able to refine the existing computer-aided design and rapid prototyping methods to allow for extracorporeal contouring of grafts and present rib cartilage as a good alternative to bone for autologous reconstruction.

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