Objective To explore the clinical efficacy of applying autologous costal cartilage in lengthening the short nose.Methods Bilateral extended spreader grafts (ESG) and columellar strut grafts were performed by using autologous costal cartilage in 253 patients with short nose,which increased nasal dorsal length and the support force of nasal tip;meanwhile,autologous costal cartilage was used for dorsal augmentation,alar rim retraction,and nasal tip modification.Results A total of 253 patients with short nose were satisfied with postoperative morphology,which presented elongated nasal dorsum,correction of nasal tip topspin,and normal nasal columella-lobular angle.6 months to 17 months follow-up was conducted,and nasal length and morphology showed stable,while 2 cases presented slight nasal tip decreasing,4 cases presented dorsal grafts warping;after revision surgery,the 6 patients had also got satisfactory results.Conclusions Correction of short nose using autologous costal cartilage can result in more stable nasal reconstruction structure,and can be used for the shape correction of other subunits of the nose,achieving at the comprehensive improvement of nasal morphology and functions.

Objective: To observe the effect of partial nasal alar cartilage reconstruction with autogenous costal cartilage for nasal tip contour improvement. Methods: From Feb. 2014 to Mar. 2016, 82 Chinese Han patients received rhinoplasty, including the requirement of nasal tip contour improvement. The cortical slices(0.1 cm in thickness) were used to augment the medial and middle crus of alar cartilage. Results: Eighty-two cases were followed up for 11.7 months in average. One case(1.1%) with tip projection reduction and 2 cases(2.3%) with superior rotation of nasal tip underwent secondary operation with satisfactory result. Good result was achieved in all the other patients with no complication. Conclusions Partial nasal alar cartilage reconstruction with autogenous costal cartilage is effective for improvement of nasal tip contour in Orientals.