ABSTRACT
Objective To introduce the experience of using costal cartilage in oriental secondary rhinoplasty.Methods From January 2012 to December 2016,we used costal cartilage grafts to obtain a functional and aesthetic reconstruction,in which silicone was used in 34 previous cases and e-PTFE was used in 5 cases.Results The mean duration of follow-up was 1.5 years,43 (86％) patients showed high satisfaction with the shape of nose.1 case of infection and 2 cases of costal cartilage warping occurred.1 case was somewhat dissatisfactied with outcome.There was no case of chest wall deformity and pneumothorax,but scar on the chest wall at the donor site was observed in 2 cases.Conclusions We have obtained good aesthetic results using costal cartilage grafts which could display sufficient and stable support for the scaffold of nose.We can conclude that costal cartilage is a good material in secondary rhinoplasty,and can be used to reconstruct an aesthetic nose.
ABSTRACT
Objective To evaluate the safety and efficacy of the 7th costal cartilage graft for correcting saddle nose deformity.Methods A total of thirty-two patients,10 male and 22 female,were treated from January 2013 to December 2016.The age of the patients ranged from twelve to thirty years with an average of twenty-five years.Fourteen of the thirty-two patients were cases of post traumatic saddle nose deformity,ten were congenital saddle nose deformity,and eight were secondary cleft lip saddle nose deformity.In all of the cases,the 7th costal cartilage was used as an autologous graft for rhinoplasty.The reliability of this method was assessed in term of efficacy and safety including suitability of the graft material,donor site scarring and postoperative results and complications.Results The mean time for harvesting the cartilage was 30 minutes,and the mean length of the harvested 7th costal cartilage was four cm.Postoperatively,there were three cases of nasal deviation,one case of infection and one case where the K-wire exposed.Two patient's hypertrophic scaring on the donor site.All the other cases had positive successful outcomes.Conclusions An autologus 7th costal cartilage can be harvested safely and quickly,and its handling procedure is simple.It is a good option as an autologous graft for rhinoplasty.
ABSTRACT
Objective To evaluate the effect of retroauricular skin expansion forthe purpose of ear reconstruction.Methods In this technique called three-stage method:1st soft tissue expander implantation under the skin close to the microtic ear,2nd the autogenous rib cartilage is harvested,the ear framework is prepared and covered with expanded skin.3rd the pseudomeatus,tragus and lobule are formed.Results 50 patients out of 55 patients were satisfied with their result and patients were followed up from 6 months to 2 years and no complain were received,There were few case with minor complication of (Exposure of expander,Deflation or Infection,Exposure of framework,Steel wire extrusion,Hypertrophic scar,Chest wall deformities) and the complications were treated accurately and carefully and patients were discharged after recoveries.Conclusion The three-stage method is very useful in microtia by using costal autogenous rib cartilage.