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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Harvesting the Entire Seventh Costal Cartilage for Secondary Rhinoplasty
1Honesty Plastic Surgery Clinic, Seoul, Republic of Korea.
Plastic and Reconstructive Surgery. Global Open
|September 23, 2022
Summary
Revision rhinoplasty often requires additional cartilage grafts. This study details a method for harvesting the entire seventh costal cartilage, providing ample material for reconstructive surgery.
Area of Science:
- Plastic Surgery
- Anatomical Harvesting Techniques
Background:
- Rhinoplasty, particularly revision procedures, is increasingly common.
- Revision rhinoplasty frequently necessitates autologous cartilage grafts for reconstruction.
- Costal cartilage is a preferred donor material due to its structural integrity and availability.
Purpose of the Study:
- To describe a standardized surgical technique for harvesting the entire seventh costal cartilage.
- To evaluate the feasibility and safety of this harvesting method for revision rhinoplasty.
Main Methods:
- A cohort of 156 patients underwent harvesting of the entire seventh costal cartilage between April 2019 and March 2020.
- Surgical approach involved an inframammary fold incision (women) or direct cartilage incision (men), with careful dissection through muscle layers to expose the cartilage.
- Subperichondrial dissection was meticulously performed circumferentially, preserving the perichondrium, followed by disarticulation at the costochondral junction and sternocostal synchondrosis.
Main Results:
- The mean operative time for cartilage harvesting was 52 minutes.
- The average harvested cartilage length was 9.33 mm.
- No instances of pneumothorax or other postoperative complications were reported.
Conclusions:
- The described technique allows for the procurement of sufficient costal cartilage for satisfactory rhinoplasty outcomes.
- This method of harvesting the entire seventh costal cartilage is safe and effective for revision rhinoplasty cases.
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