Costal Cartilage Homografts Preserved by Irradiation

Dingman, Reed O.; Grabb, William C.

doi:10.1097/00006534-196111000-00004

Cited by 89 publications

(32 citation statements)

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“…The IHCC grafts were first reported in 1961 by Dingman and Grabb, 3 and have been widely used since then. Although case reports until now have been focused on dorsal augmentation, columellar struts, and spreader grafts for saddle noses, there have been few reports on the use of IHCC for contracted nose correction.…”

Section: Discussionmentioning

confidence: 99%

A 2-year Follow-Up of Irradiated Homologous Costal Cartilage Used as a Septal Extension Graft for the Correction of Contracted Nose in Asians

Suh¹,

Ahn²,

Kim³

et al. 2013

Annals of Plastic Surgery

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Section: Discussionmentioning

confidence: 99%

A 2-year Follow-Up of Irradiated Homologous Costal Cartilage Used as a Septal Extension Graft for the Correction of Contracted Nose in Asians

Suh¹,

Ahn²,

Kim³

et al. 2013

Annals of Plastic Surgery

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“…Initially, it was thought that exposing costal cartilage grafts to ionizing gamma radiation prior to implantation would prevent warping. 44 However, a subsequent controlled study by Adams et al determined that irradiating cartilage with ionizing energy did not affect the warping process. 43 Erol was able to successfully avoid warping by dicing costal cartilage into small pieces and wrapping it in cellulose-based Surgicel (Ethicon).…”

Section: Additional Options To Minimize Warpingmentioning

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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“…Autogenous rib costal cartilage does rarely get infected or extrude 5. Moreover, resorption is less as compared to homologous irradiated rib cartilage grafts 6, 7. However, warping of the costal cartilage, whether autogenous or homologous in origin, is an established major problem that can lead to obvious postoperative deformities of the nose.…”

Section: Introductionmentioning

confidence: 99%