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The Thoracic Cage: Ribs

The Thoracic Cage: Ribs

Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal facet...

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Prone Lateral Minimally Invasive Retropleural Corpectomy Using a Rotatable Radiolucent Jackson Table

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Dorsal augmentation with autogenous rib cartilage.

Jack P Gunter¹, C Spencer Cochran, Vincent P Marin

¹Department of Plastic Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas.

Seminars in Plastic Surgery

|June 23, 2010

Summary

Rhinoplasty often requires cartilage grafts when septal cartilage is insufficient. Autogenous rib cartilage, stabilized with K-wires, offers a reliable solution for nasal dorsal augmentation in complex cases.

Keywords:

Rhinoplasty augmentation graft rib cartilage secondary rhinoplasty

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Area of Science:

Plastic Surgery
Otolaryngology
Biomaterials in Reconstruction

Background:

Nasal osseocartilaginous framework reconstruction is crucial for rhinoplasty success.
Septal cartilage is the preferred graft source, but often insufficient in revision or complex cases.
Rib cartilage is an abundant and reliable alternative for structural support in rhinoplasty.

Purpose of the Study:

To present the senior author's experience with dorsal augmentation using autogenous rib cartilage grafts.
To describe the evolution of techniques for rib cartilage grafting in rhinoplasty.
To highlight the role of internal K-wire stabilization in these reconstructions.

Main Methods:

Review of surgical techniques for dorsal augmentation with autogenous rib cartilage.
Description of graft preparation and placement.
Emphasis on internal K-wire stabilization for structural integrity.

Main Results:

Successful dorsal augmentation achieved using autogenous rib cartilage grafts.
Internal K-wire stabilization provided reliable support.
Techniques evolved to optimize outcomes in primary and secondary rhinoplasty.

Conclusions:

Autogenous rib cartilage is a valuable resource for nasal dorsal augmentation when septal cartilage is limited.
Internal K-wire stabilization enhances the reliability of rib cartilage grafts.
The presented techniques offer a robust approach to complex rhinoplasty reconstructions.