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DOI: 10.1055/s-0028-1083090
The Decision Process in Choosing Costal Cartilage for Use in Revision Rhinoplasty
Publikationsverlauf
Publikationsdatum:
24. Oktober 2008 (online)
![](https://www.thieme-connect.de/media/fps/200803/lookinside/thumbnails/10.1055-s-0028-1083090-1.jpg)
ABSTRACT
The aims of rhinoplasty reconstruction include maintaining or augmenting long-term tip projection, restoring rigid dorsal stability, and restoring optimum respiratory function. The methods set forth to obtain these objectives are inherently based on the intrinsic nasal principles at the time of the rhinoplasty. Because of the excellent and consistent results autologous costal cartilage grafts provide when faced with problems such as the traumatic saddle deformity, defects after neoplastic resection, congenital nasal deformities, severe tip weakness or underprojection, rhinoplasty in the ethnic patient, and revision rhinoplasty, they are an invaluable resource to the rhinoplasty surgeon. Once the surgeon becomes comfortable and proficient at harvesting this graft, it inevitably will become the graft of choice when substantial amounts of cartilage are required.
KEYWORDS
Rhinoplasty - costal cartilage - trauma - saddle nose deformity
REFERENCES
- 1 Lovice D B, Mingrone M D, Toriumi D M. Grafts amd implants in rhinoplasty and nasal reconstruction. Otolaryngol Clin North Am. 1999; 32 113-141
- 2 Vuyk H D, Adamson P A. Biomaterials in rhinoplasty. Clin Otolaryngol Allied Sci. 1998; 23 209-217
- 3 Adamson P A. Grafts in rhinoplasty: autogenous grafts are superior to alloplastic. Arch Otolaryngol Head Neck Surg. 2000; 126 561-562
- 4 Toriumi D M. Autogenous grafts are worth the extra time. Arch Otolaryngol Head Neck Surg. 2000; 126 562-564
- 5 Conrad K, Gillman G. A 6-year experience with the use of expanded polytetrafluoroethylene in rhinoplasty. Plast Reconstr Surg. 1998; 101 1675-1683
- 6 Kridel R W, Konior R J. Irradiated cartilage grafts in the nose. A preliminary report. Arch Otolaryngol Head Neck Surg. 1993; 119 24-30
- 7 Strauch B, Wallach S G. Reconstruction with irradiated homograft costal cartilage. Plast Reconstr Surg. 2003; 111 2405-2411
- 8 Gryskiewicz J M. Waste not, want not: the use of AlloDerm in secondary rhinoplasty. Plast Reconstr Surg. 2005; 116 1999-2004
- 9 Swanepoel P F, Fysh R. Laminated dorsal beam graft to eliminate postoperative twisting complications. Arch Facial Plast Surg. 2007; 9 285-289
- 10 Mowlem R. Bone (iliac) and cartilage transplants to ear and nose: their use and behavior. Br J Plast Surg. 1941; 29 182-193
- 11 Gibson T, Davis W B. The distortion of autogenous cartilage cartilage grafts: its cause and prevention. Br J Plast Surg. 1958; 10 257-274
-
12 Gibson T.
Transplantation of cartilage . In: Converse JM Reconstructive Plastic Surgery. Philadelphia, PA; Saunders 1977: 301-311 - 13 Brown J B. Preserved and fresh homotransplants of cartilage. Surg Gynecol Obstet. 1940; 70 1079-1082
- 14 Dingman R O, Grabb W C. Costal cartilage homografts preserved by irradiation. Plast Reconstr Surg Transplant Bull. 1961; 28 562-567
- 15 Schuller D E, Bardach J, Krause C J. Irradiated homologous costal cartilate for facial contour restoration. Arch Otolaryngol. 1977; 103 12-15
- 16 Murakami C S, Cook T A, Guida R A. Nasal reconstruction with articulated irradiated rib cartilage. Arch Otolaryngol Head Neck Surg. 1991; 117 327-330
- 17 Adams Jr W P, Rohrich R J, Gunter J P, Clark C P, Robinson Jr J B. The rate of warping in irradiated and nonirradiated homograft rib cartilage: a controlled comparison and clinical implications. Comparative Study. In Vitro. Plast Reconstr Surg. 1999; 103 265-270
- 18 Harris S, Pan Y, Peterson R, Stal S, Spira M. Cartilage warping: an experimental model. Plast Reconstr Surg. 1993; 92 912-915
- 19 Kim D W, Shah A R, Toriumi D M. Concentric and eccentric carved costal cartilage: a comparison of warping. Arch Facial Plast Surg. 2006; 8 42-46
- 20 Gunter J P, Clark C P, Friedman R M. Internal stabilization of autogenous rib cartilage grafts in rhinoplasty: a barrier to cartilage warping. Plast Reconstr Surg. 1997; 100 161-169
Robert J DeFattaM.D. Ph.D.
Williams Center Plastic Surgery Specialists
1072 Troy Schenectady Road, Latham, NY 12110
eMail: robertdefatta@yahoo.com