Combined conchal cartilage-ethmoid bone grafts in nasal surgery

Septal cartilage grafts are frequently required in rhinoplasties and nasal reconstructions. Unfortunately, sufficient septum is not always available for graft purposes. Conchal cartilage can serve as a substitute, but its usefulness is limited because of its soft, elastic nature. Applying thin sheets of pliable ethmoid bone to conchal cartilage gives the cartilage greater strength and, at the same time, allows it to retain some flexibility. This article examines the role of combined conchal cartilage-ethmoid bone grafts in nasal surgery. These grafts are simple to construct and are versatile in their application. By maintaining a free cartilage edge, they are readily sutured into place. The results seem to last long term.