Comprehensive rhinoplasty with transplantation of autologous costal cartilage

VernacularTitle:自体肋软骨移植综合鼻成形术
Author: Gao ZENG ; Zhiqiang XUE ; Zhanwei GAO ; Yanwen QI ; Haihuan MA
Publication Type:Journal Article
Keywords: Nasal augmentation; Costal cartilage comprehensive rhinoplasty; Rhinoplasty
From: Chinese Journal of Medical Aesthetics and Cosmetology 2013;19(6):407-410
CountryChina
Language:Chinese
Abstract: Objective To explore the comprehensive approach of rhinoplasty using autologous costal cartilage,and to observe the outcome and summarize the possible complications.Methods A 6-7 cm long costal cartilage was taken out mostly from the 6th or 7th rib and then divided into several parts and shapes.A lancet shaped piece was used for dorsal augmentation,several cartilage bars for collumellar elevation and nasal tip elongation.Comprehensive structural rhinoplasty was then done with open rhinoplasty incision.Results 52 patients were treated with this method and satisfying aesthetic contouring of the nasal tip and dorsum was achieved.Among these patients,no such complications as implant extrution or dislocation,cartilage distortion,pneumothorax,hemothorax,infection or hemotoma were observed.The scar on the donor site was not obvius.Conclusions Costal cartilage can meet the demands of patients who consider prosthesis as an unacceptable option.For secondary revision rhinoplasties,costal cartilage provides sufficient materials to ensure a promising outcome with lower risk of infection and other complications.