Harvesting Rib Cartilage Grafts for Secondary Rhinoplasty

Marin, Vincent P.; Cochran, C. Spencer

doi:10.1007/978-3-642-28053-5_74

Cited by 26 publications

(35 citation statements)

References 16 publications

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“…[1][2][3][4][5][6][7][8] Recently, Kim et al 9 harvested the 10th costal cartilage with only a 1-cm incision and used it in a columella strut and tip onlay graft.…”

mentioning

confidence: 99%

Anatomy of the Tenth Costal Cartilage for a Columella Strut in an Asian Rhinoplasty

Hwang

Kim

Han

et al. 2015

Journal of Craniofacial Surgery

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The aim of this study was to elucidate the precise radiological and surface anatomy of the 10th costal cartilage for the usage of a columella strut in an Asian rhinoplasty.Three hundred abdominal computed tomography scans were reviewed and measured (166 males, 134 females), and the location of the 10th costochondral junction (CCJ) was measured in reference to the anterior superior iliac spine (ASIS) and umbilicus. Sixteen 10th costal cartilages were harvested from 10 Korean adult cadavers (7 males, 3 females), and the length, width, and thickness of each cartilage were measured.Distance from the anterior ASIS to the umbilicus was 155.4 ± 15.1 mm (male: 157.9 ± 15.5 mm, female: 152.2 ± 14.1 mm). Distance from the umbilicus to the 10th CCJ was 170.7 ± 23.0 mm (male: 179.2 ± 22.8 mm, female: 160.3 ± 18.7 mm). Distance from the ASIS to the 10th CSJ angle was 181.8 ± 21.8 mm (male: 184.7 ± 21.3 mm, female: 178.2 ± 22.1 mm). The ASIS-umbilicus-10th CSJ angle was 56.3 ± 5.6 degrees (male: 55.1 ± 5.5 degrees, female: 57.8 ± 5.3 degrees). The average length of the cartilage was 64.1 ± 19.7 mm. The average curved length of the cartilage was 69.6 ± 21.0 mm. The average greatest width was 11.0 ± 2.1 mm, and the width at its mid-length was 8.3 ± 1.7 mm. The average thickness of the cartilage was 5.7 ± 0.9 mm. In a 33-year-old woman, the 10th costal cartilage was used for columella strut.It is thought that the 10th costal cartilage can provide a sufficient amount and shape for a columella strut and tip in an onlay graft.

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“…[1][2][3][4][5][6][7][8] Recently, Kim et al 9 harvested the 10th costal cartilage with only a 1-cm incision and used it in a columella strut and tip onlay graft.…”

mentioning

confidence: 99%

Anatomy of the Tenth Costal Cartilage for a Columella Strut in an Asian Rhinoplasty

Hwang

Kim

Han

et al. 2015

Journal of Craniofacial Surgery

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“…4,[17][18][19][20][21][22][23][24] The size of the septal cartilage to be harvested should be large enough to be used as a caudal septal graft. Conventional harvesting techniques have limited the size of the L-shaped strut to 15, 25 7 to 8, 26 or 5 to 10 mm 13 to maintain the function of the strut as a nasal support structure, thereby decreasing the risk of postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Tip-Oriented Closed Rhinoplasty Built on Septocolumellar Suture and a New Caudal Septal Graft Technique

Tezel

Ersoy

2016

Annals of Plastic Surgery

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The septocolumellar suture combined with caudal septal graft in closed rhinoplasty substantially facilitates the achievement of a cosmetically and functionally pleasing end result, bringing the solution for a wide array of problems such as short nose, supratip deformity, nasolabial angle change, or columellar bowing. Nevertheless, the technique has a steep learning curve; therefore, a meticulous preoperative evaluation should be exerted, a precise surgical planning should be prosecuted, and an excessive reduction of the nasal tip or exaggerated columellar retraction should be avoided.

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“…Se irriga con suero fisioló-gico la zona operatoria y se realiza una prueba de Valsalva para evaluar daños pleurales. Finalmente se realiza el cierre por planos (Figura 1) 8 . En el caso de rupturas pleurales se instala un drenaje en la zona de ruptura y se realiza un cierre por planos alrededor del drenaje.…”

Section: Técnica Quirúrgicaunclassified

“…En estos casos se plantea realizar un control con radiografia de tórax para evaluar pneumotórax posoperatorio. En caso de ser positivo se debe instalar un tubo pleural 8 . Sin embargo en nuestro centro se realiza una radiografía de tórax anteroposterior y lateral de rutina.…”

Section: Técnica Quirúrgicaunclassified

Injerto costal para reconstrucción nasal: Experiencia de 6 años en el Hospital San Juan de Dios

et al. 2017

Rev. Otorrinolaringol. Cir. Cabeza Cuello

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Harvesting Rib Cartilage Grafts for Secondary Rhinoplasty

Cited by 26 publications

References 16 publications

Anatomy of the Tenth Costal Cartilage for a Columella Strut in an Asian Rhinoplasty

Anatomy of the Tenth Costal Cartilage for a Columella Strut in an Asian Rhinoplasty

Tip-Oriented Closed Rhinoplasty Built on Septocolumellar Suture and a New Caudal Septal Graft Technique

Injerto costal para reconstrucción nasal: Experiencia de 6 años en el Hospital San Juan de Dios

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