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Simplifying Costal Cartilage Harvesting in Rhinoplasty With the Gigli Saw Technique
Remzi Dogan1, Alper Yenigun, Muhammed Furkan Ozgan
1Department of Otorhinolaryngology, Faculty of Medicine, Bezmialem Vakif University, Fatih, Istanbul, Turkey.
The Journal of Craniofacial Surgery
|May 1, 2026
Summary
The Gigli saw offers a safer method for harvesting costal cartilage in rhinoplasty, reducing pneumothorax risk and surgical time. This technique ensures graft integrity while minimizing donor-site complications for better patient outcomes.
Area of Science:
- Plastic Surgery
- Surgical Techniques
Background:
- Costal cartilage is a common graft material in rhinoplasty when septal cartilage is insufficient.
- Traditional harvesting methods carry risks like donor-site pain, infection, and pneumothorax.
Purpose of the Study:
- To evaluate the Gigli saw for costal cartilage harvesting in rhinoplasty.
- To assess the technique's efficacy in minimizing pneumothorax risk, reducing surgical time, and preserving graft integrity.
Main Methods:
- The Gigli saw was used for precise costal cartilage harvesting (6th-8th ribs) under general anesthesia.
- The technique involved a small incision, perichondrial elevation, and controlled cartilage cutting.
Main Results:
- Successful graft harvests were achieved with minimal complications.
- The Gigli saw technique demonstrated a reduced risk of pneumothorax and less tissue damage compared to traditional methods.
- Improved patient satisfaction and outcomes were observed.
Conclusions:
- The Gigli saw is advantageous for costal cartilage harvesting in rhinoplasty, offering decreased complication risk and enhanced precision.
- This technique minimizes donor-site morbidity and provides a valuable option for complex graft needs.
- Skilled application is necessary for optimal results.
