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Related Concept Videos

The Thoracic Cage: Ribs01:20

The Thoracic Cage: Ribs

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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.
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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...
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The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
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The Thoracic Cage: Sternum01:17

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The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
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Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
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The Use of Costal Cartilage in Rhinoplasty.

Fred G Fedok1, Grace Lee Peng2, Eren Tastan3

  • 1Department of Surgery, University of South Alabama, Foley, AL, USA; Fedok Plastic Surgery, Foley.

Facial Plastic Surgery Clinics of North America
|September 28, 2024
PubMed
Summary

Autologous rib cartilage is a safe and effective cartilage source for rhinoplasty, especially in revision surgeries. It provides abundant, high-quality cartilage through a minimally invasive approach.

Keywords:
Autologous ribCartilage graftingCarving rib cartilageRevision rhinoplasty reconstructionRib cartilage

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Biomaterials Science

Background:

  • Autologous cartilage is a preferred graft material in rhinoplasty.
  • Septal cartilage is often insufficient, particularly in revision cases.
  • Alternative cartilage sources are needed for complex nasal reconstructions.

Purpose of the Study:

  • To evaluate the safety and efficacy of autologous rib cartilage in rhinoplasty.
  • To highlight rib cartilage as a viable alternative to septal cartilage.
  • To describe the technique for harvesting and preparing rib cartilage.

Main Methods:

  • Harvesting of autologous rib cartilage through a small incision.
  • Pre-operative carving and saline soaking of rib cartilage to assess warping.
  • Utilization of rib cartilage in primary and revision rhinoplasty procedures.

Main Results:

  • Autologous rib cartilage can be harvested easily and safely.
  • Rib cartilage provides a copious and good-quality source for nasal reconstruction.
  • Pre-operative preparation minimizes warping issues.

Conclusions:

  • Autologous rib cartilage is a reliable and valuable graft material for rhinoplasty.
  • It is particularly useful in cases with limited septal cartilage availability.
  • The technique offers a safe and effective solution for nasal augmentation and reconstruction.