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CC BY 4.0 · Arch Plast Surg 2025; 52(01): 025-029
DOI: 10.1055/a-2349-9835
Pediatric/Craniomaxillofacial/Head and Neck
Idea and Innovation

Chondrocutaneous Custom-made Graft for Upper Lateral and Alar Cartilage Nose Reconstruction: The T Graft

Vania Recchi 
1   Department of Experimental and Clinical Medicine, Clinic of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, Ancona, Italy
,
Alberto Pau 
1   Department of Experimental and Clinical Medicine, Clinic of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, Ancona, Italy
,
Davide Talevi 
1   Department of Experimental and Clinical Medicine, Clinic of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, Ancona, Italy
,
Simone Russo 
2   Department of Clinical and Molecular Sciences, Ear, Nose, and Throat Unit, Marche Polytechnic University Medical School, Ancona, Italy
,
Matteo Torresetti 
1   Department of Experimental and Clinical Medicine, Clinic of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, Ancona, Italy
,
Giovanni Di Benedetto 
1   Department of Experimental and Clinical Medicine, Clinic of Plastic and Reconstructive Surgery, Marche Polytechnic University Medical School, Ancona, Italy
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Abstract

Upper lateral cartilage and alar cartilage nose reconstruction secondary to failed aesthetic procedure or tumor excision, surely represents a reconstructive challenge for plastic surgeons, because of the support needed and for the function of the internal nasal valve (INV).

Several scientific publications deal with internal nasal reconstructive techniques, including simple homologous or heterologous tissue grafts.

We describe a new hybrid chondrocutaneous graft used for reconstruction of the upper lateral cartilage and a portion of the alar cartilage (cephalic part), excised with the adherent nasal mucosa (in correspondence with INV), included in the tumor mass.

Keywords

nasal reconstruction - composite graft - chondrocutaneous graft - internal nasal valve

Authors' Contributions

Conceptualization: V.R., A.P., D.T., S.R., M.T., G.D.B.

Data curation: V.R., A.P., D.T., S.R., M.T., G.D.B.

Formal analysis: V.R., A.P., D.T., S.R., M.T., G.D.B.

Methodology: V.R., A.P., D.T., S.R., M.T., G.D.B.

Project administration: V.R., A.P., D.T., S.R., M.T., G.D.B.

Visualization: V.R., A.P., D.T., S.R., M.T., G.D.B.

Writing – original draft: V.R., A.P., D.T., S.R., M.T., G.D.B.

Writing – review & editing: V.R., A.P., D.T., S.R., M.T., G.D.B.


Ethical Approval

The study and the surgical procedures were conducted according to Good Clinical Practice requirements and the 1975 Declaration of Helsinki principles.


Patient Consent

The patient provided written informed consent for surgery and the use of pictures for academic and study purposes.




Publication History

Received: 21 July 2023

Accepted: 08 April 2024

Accepted Manuscript online:
21 June 2024

Article published online:
06 August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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