Precision carving of costal cartilage graft for contour fill in aesthetic and reconstructive rhinoplasty
Background: Autogenous costal cartilage is a good option for large volume requirements in rhinoplasty, when septal or conchal cartilages do not suffice. Reluctance to use costal cartilage is due to apprehension of warping. However, warping can be avoided if we follow the principle of balanced sectio...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2014-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2014;volume=47;issue=1;spage=25;epage=35;aulast=Bhat |
| _version_ | 1819018773843148800 |
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| author | Uday Bhat Sanchit Garg Eulalia J D′Souza Nikhil Agarkhedkar Ibohal Akoijam Singh Amresh S Baliarsing |
| author_facet | Uday Bhat Sanchit Garg Eulalia J D′Souza Nikhil Agarkhedkar Ibohal Akoijam Singh Amresh S Baliarsing |
| author_sort | Uday Bhat |
| collection | DOAJ |
| description | Background: Autogenous costal cartilage is a good option for large volume requirements in rhinoplasty, when septal or conchal cartilages do not suffice. Reluctance to use costal cartilage is due to apprehension of warping. However, warping can be avoided if we follow the principle of balanced section as advocated by Gibson and Davis. "Warping" can also be utilized to change the curvature of the graft. Materials and Methods: We have used 69 costal cartilage grafts as a solid piece for contour fill in rhinoplasty in 31 patients over the last 10 years. Principle of balanced section as advocated by Gibson and Davis was adhered to while carving the grafts, however some grafts were allowed to warp to get different sizes and shapes. Results: All the procedures were uneventful. Aesthetic appearance of all patients was satisfactory and acceptable to all the patients. In two cases, the dorsal graft minimally shifted to one side, but remained straight. In one patient, there was late appearance of distortion. Conclusion: The mode of cartilage warping is predictable and it can be used to advantage. Apprehension to use costal cartilage graft is unjustified, as with precision carving a desired shape can be obtained. |
| first_indexed | 2024-12-21T03:24:45Z |
| format | Article |
| id | doaj.art-25fc5a54aa2b4b80923a3365112f156c |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-21T03:24:45Z |
| publishDate | 2014-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-25fc5a54aa2b4b80923a3365112f156c2022-12-21T19:17:37ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2014-01-01471253510.4103/0970-0358.129620Precision carving of costal cartilage graft for contour fill in aesthetic and reconstructive rhinoplastyUday BhatSanchit GargEulalia J D′SouzaNikhil AgarkhedkarIbohal Akoijam SinghAmresh S BaliarsingBackground: Autogenous costal cartilage is a good option for large volume requirements in rhinoplasty, when septal or conchal cartilages do not suffice. Reluctance to use costal cartilage is due to apprehension of warping. However, warping can be avoided if we follow the principle of balanced section as advocated by Gibson and Davis. "Warping" can also be utilized to change the curvature of the graft. Materials and Methods: We have used 69 costal cartilage grafts as a solid piece for contour fill in rhinoplasty in 31 patients over the last 10 years. Principle of balanced section as advocated by Gibson and Davis was adhered to while carving the grafts, however some grafts were allowed to warp to get different sizes and shapes. Results: All the procedures were uneventful. Aesthetic appearance of all patients was satisfactory and acceptable to all the patients. In two cases, the dorsal graft minimally shifted to one side, but remained straight. In one patient, there was late appearance of distortion. Conclusion: The mode of cartilage warping is predictable and it can be used to advantage. Apprehension to use costal cartilage graft is unjustified, as with precision carving a desired shape can be obtained.http://www.ijps.org/article.asp?issn=0970-0358;year=2014;volume=47;issue=1;spage=25;epage=35;aulast=BhatAutogenous cartilagebalanced sectioncostal cartilage graftrhinoplastywarping |
| spellingShingle | Uday Bhat Sanchit Garg Eulalia J D′Souza Nikhil Agarkhedkar Ibohal Akoijam Singh Amresh S Baliarsing Precision carving of costal cartilage graft for contour fill in aesthetic and reconstructive rhinoplasty Indian Journal of Plastic Surgery Autogenous cartilage balanced section costal cartilage graft rhinoplasty warping |
| title | Precision carving of costal cartilage graft for contour fill in aesthetic and reconstructive rhinoplasty |
| title_full | Precision carving of costal cartilage graft for contour fill in aesthetic and reconstructive rhinoplasty |
| title_fullStr | Precision carving of costal cartilage graft for contour fill in aesthetic and reconstructive rhinoplasty |
| title_full_unstemmed | Precision carving of costal cartilage graft for contour fill in aesthetic and reconstructive rhinoplasty |
| title_short | Precision carving of costal cartilage graft for contour fill in aesthetic and reconstructive rhinoplasty |
| title_sort | precision carving of costal cartilage graft for contour fill in aesthetic and reconstructive rhinoplasty |
| topic | Autogenous cartilage balanced section costal cartilage graft rhinoplasty warping |
| url | http://www.ijps.org/article.asp?issn=0970-0358;year=2014;volume=47;issue=1;spage=25;epage=35;aulast=Bhat |
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