ABSTRACT
The aims of rhinoplasty reconstruction include maintaining or augmenting long-term
tip projection, restoring rigid dorsal stability, and restoring optimum respiratory
function. The methods set forth to obtain these objectives are inherently based on
the intrinsic nasal principles at the time of the rhinoplasty. Because of the excellent
and consistent results autologous costal cartilage grafts provide when faced with
problems such as the traumatic saddle deformity, defects after neoplastic resection,
congenital nasal deformities, severe tip weakness or underprojection, rhinoplasty
in the ethnic patient, and revision rhinoplasty, they are an invaluable resource to
the rhinoplasty surgeon. Once the surgeon becomes comfortable and proficient at harvesting
this graft, it inevitably will become the graft of choice when substantial amounts
of cartilage are required.
KEYWORDS
Rhinoplasty - costal cartilage - trauma - saddle nose deformity
REFERENCES
1
Lovice D B, Mingrone M D, Toriumi D M.
Grafts amd implants in rhinoplasty and nasal reconstruction.
Otolaryngol Clin North Am.
1999;
32
113-141
2
Vuyk H D, Adamson P A.
Biomaterials in rhinoplasty.
Clin Otolaryngol Allied Sci.
1998;
23
209-217
3
Adamson P A.
Grafts in rhinoplasty: autogenous grafts are superior to alloplastic.
Arch Otolaryngol Head Neck Surg.
2000;
126
561-562
4
Toriumi D M.
Autogenous grafts are worth the extra time.
Arch Otolaryngol Head Neck Surg.
2000;
126
562-564
5
Conrad K, Gillman G.
A 6-year experience with the use of expanded polytetrafluoroethylene in rhinoplasty.
Plast Reconstr Surg.
1998;
101
1675-1683
6
Kridel R W, Konior R J.
Irradiated cartilage grafts in the nose. A preliminary report.
Arch Otolaryngol Head Neck Surg.
1993;
119
24-30
7
Strauch B, Wallach S G.
Reconstruction with irradiated homograft costal cartilage.
Plast Reconstr Surg.
2003;
111
2405-2411
8
Gryskiewicz J M.
Waste not, want not: the use of AlloDerm in secondary rhinoplasty.
Plast Reconstr Surg.
2005;
116
1999-2004
9
Swanepoel P F, Fysh R.
Laminated dorsal beam graft to eliminate postoperative twisting complications.
Arch Facial Plast Surg.
2007;
9
285-289
10
Mowlem R.
Bone (iliac) and cartilage transplants to ear and nose: their use and behavior.
Br J Plast Surg.
1941;
29
182-193
11
Gibson T, Davis W B.
The distortion of autogenous cartilage cartilage grafts: its cause and prevention.
Br J Plast Surg.
1958;
10
257-274
12 Gibson T.
Transplantation of cartilage . In: Converse JM Reconstructive Plastic Surgery. Philadelphia, PA; Saunders 1977:
301-311
13
Brown J B.
Preserved and fresh homotransplants of cartilage.
Surg Gynecol Obstet.
1940;
70
1079-1082
14
Dingman R O, Grabb W C.
Costal cartilage homografts preserved by irradiation.
Plast Reconstr Surg Transplant Bull.
1961;
28
562-567
15
Schuller D E, Bardach J, Krause C J.
Irradiated homologous costal cartilate for facial contour restoration.
Arch Otolaryngol.
1977;
103
12-15
16
Murakami C S, Cook T A, Guida R A.
Nasal reconstruction with articulated irradiated rib cartilage.
Arch Otolaryngol Head Neck Surg.
1991;
117
327-330
17
Adams Jr W P, Rohrich R J, Gunter J P, Clark C P, Robinson Jr J B.
The rate of warping in irradiated and nonirradiated homograft rib cartilage: a controlled
comparison and clinical implications. Comparative Study. In Vitro.
Plast Reconstr Surg.
1999;
103
265-270
18
Harris S, Pan Y, Peterson R, Stal S, Spira M.
Cartilage warping: an experimental model.
Plast Reconstr Surg.
1993;
92
912-915
19
Kim D W, Shah A R, Toriumi D M.
Concentric and eccentric carved costal cartilage: a comparison of warping.
Arch Facial Plast Surg.
2006;
8
42-46
20
Gunter J P, Clark C P, Friedman R M.
Internal stabilization of autogenous rib cartilage grafts in rhinoplasty: a barrier
to cartilage warping.
Plast Reconstr Surg.
1997;
100
161-169
Robert J DeFattaM.D. Ph.D.
Williams Center Plastic Surgery Specialists
1072 Troy Schenectady Road, Latham, NY 12110
Email: robertdefatta@yahoo.com