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Harvesting the Entire Seventh Costal Cartilage for Secondary Rhinoplasty

As rhinoplasty is becoming increasingly common, the number of revision cases is also increasing. These cases require more cartilage, and costal cartilage is considered a good material. We introduce a method of harvesting the entire seventh costal cartilage. METHODS: This study was performed from Apr...

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Autores principales: Jung, Dong-Woo, Lee, Myung Ju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9489157/
https://www.ncbi.nlm.nih.gov/pubmed/36148029
http://dx.doi.org/10.1097/GOX.0000000000004510
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author Jung, Dong-Woo
Lee, Myung Ju
author_facet Jung, Dong-Woo
Lee, Myung Ju
author_sort Jung, Dong-Woo
collection PubMed
description As rhinoplasty is becoming increasingly common, the number of revision cases is also increasing. These cases require more cartilage, and costal cartilage is considered a good material. We introduce a method of harvesting the entire seventh costal cartilage. METHODS: This study was performed from April 2019 to March 2020. The seventh costal cartilage was harvested from 156 patients. The incision was placed at the inframammary fold in women and directly above the cartilage in men. The length of incision was approximately 3.5 cm. After skin incision, we found a muscle fascia plane, and wide dissection was performed. We opened the muscle fascia and split the rectus abdominis muscles. Then, the seventh costal cartilage was exposed. Careful subperichondrial dissection was continued circumferentially. After the posterior aspect of the cartilage was exposed, the costochondral junction was cut and dislocated. The remaining perichondral dissection was performed under direct vision to avoid violating the perichondrium. Then, we dislocated the synchondrosis between the sixth and seventh cartilages and the seventh and eighth cartilages in turn. Finally, we cut the sternocostal area while protecting the underlying perichondrium and removed the cartilage. We checked for pneumothorax and then closed the wound layer by layer using 2-0 and 3-0 Vicryl sutures. Skin closure was performed with Steri-Strips. RESULTS: The mean time for cartilage harvesting was 52 minutes. The average length of the cartilage was 9.33 mm. No cases of pneumothorax or postoperative morbidities were noted. CONCLUSION: We used sufficient amounts of cartilage to perform satisfactory rhinoplasty.
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spelling pubmed-94891572022-09-21 Harvesting the Entire Seventh Costal Cartilage for Secondary Rhinoplasty Jung, Dong-Woo Lee, Myung Ju Plast Reconstr Surg Glob Open Cosmetic As rhinoplasty is becoming increasingly common, the number of revision cases is also increasing. These cases require more cartilage, and costal cartilage is considered a good material. We introduce a method of harvesting the entire seventh costal cartilage. METHODS: This study was performed from April 2019 to March 2020. The seventh costal cartilage was harvested from 156 patients. The incision was placed at the inframammary fold in women and directly above the cartilage in men. The length of incision was approximately 3.5 cm. After skin incision, we found a muscle fascia plane, and wide dissection was performed. We opened the muscle fascia and split the rectus abdominis muscles. Then, the seventh costal cartilage was exposed. Careful subperichondrial dissection was continued circumferentially. After the posterior aspect of the cartilage was exposed, the costochondral junction was cut and dislocated. The remaining perichondral dissection was performed under direct vision to avoid violating the perichondrium. Then, we dislocated the synchondrosis between the sixth and seventh cartilages and the seventh and eighth cartilages in turn. Finally, we cut the sternocostal area while protecting the underlying perichondrium and removed the cartilage. We checked for pneumothorax and then closed the wound layer by layer using 2-0 and 3-0 Vicryl sutures. Skin closure was performed with Steri-Strips. RESULTS: The mean time for cartilage harvesting was 52 minutes. The average length of the cartilage was 9.33 mm. No cases of pneumothorax or postoperative morbidities were noted. CONCLUSION: We used sufficient amounts of cartilage to perform satisfactory rhinoplasty. Lippincott Williams & Wilkins 2022-09-20 /pmc/articles/PMC9489157/ /pubmed/36148029 http://dx.doi.org/10.1097/GOX.0000000000004510 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Cosmetic
Jung, Dong-Woo
Lee, Myung Ju
Harvesting the Entire Seventh Costal Cartilage for Secondary Rhinoplasty
title Harvesting the Entire Seventh Costal Cartilage for Secondary Rhinoplasty
title_full Harvesting the Entire Seventh Costal Cartilage for Secondary Rhinoplasty
title_fullStr Harvesting the Entire Seventh Costal Cartilage for Secondary Rhinoplasty
title_full_unstemmed Harvesting the Entire Seventh Costal Cartilage for Secondary Rhinoplasty
title_short Harvesting the Entire Seventh Costal Cartilage for Secondary Rhinoplasty
title_sort harvesting the entire seventh costal cartilage for secondary rhinoplasty
topic Cosmetic
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9489157/
https://www.ncbi.nlm.nih.gov/pubmed/36148029
http://dx.doi.org/10.1097/GOX.0000000000004510
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