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Concha, septum or rib cartilage grafts should be used for creating enough support and a good shape. A second repair can sometimes be required; causes are recurrence of cancer, new cancer or new trauma. A second flap can be harvested from the contralateral forehead after a prior vertical flap. [1]
The autologous grafts usually are harvested from the nasal septum, but, if it has insufficient cartilage (as can occur in a revision rhinoplasty), then either a costal cartilage graft (from the rib cage) or an auricular cartilage graft (concha from the ear) is harvested from the patient's body. Homologous (donor) rib cartilage is also sometimes ...
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
The first seven pairs are connected with the sternum; the next three are each articulated with the lower border of the cartilage of the preceding rib; the last two have pointed extremities, which end in the wall of the abdomen. [2] Like the ribs, the costal cartilages vary in their length, breadth, and direction. They increase in length from ...
Some of these surgical techniques include: septoplasty (restructuring the septal nasal cartilage), upper lateral cartilage repositioning (restructuring the lateral nasal cartilage), and sliding alar cartilage (restructuring the major alar cartilage). Rhinoplasty, which is the surgical reconstruction of the nose, has increased in recent ...
It can usually be corrected with augmentation rhinoplasty [2] by filling the dorsum of the nose with cartilage, bone or synthetic implant. If the depression is only cartilaginous, cartilage is taken from the nasal septum or auricle and laid in single or multiple layers.
Rib resection differentiates from costal cartilage removal as it removes a small bone portion of the affected rib(s). [1] Laparoscopic costal cartilage removal is a minimally invasive, intra-abdominal approach to treating the condition. The affected cartilage is excised from the sternocostal junction to the costochondral junction. [17]
The nasal septum is the bone and cartilage in the nose that separates the nasal cavity into the two nostrils.The cartilage is called the quadrangular cartilage and the bones comprising the septum include the maxillary crest, vomer, and the perpendicular plate of the ethmoid.