Harvesting the Entire Seventh Costal Cartilage for Secondary Rhinoplasty
Background:. 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 perf...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-09-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004510 |
| _version_ | 1818017136446013440 |
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| author | Dong-Woo Jung, MD, PhD Myung Ju Lee, MD, PhD |
| author_facet | Dong-Woo Jung, MD, PhD Myung Ju Lee, MD, PhD |
| author_sort | Dong-Woo Jung, MD, PhD |
| collection | DOAJ |
| description | Background:. 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. |
| first_indexed | 2024-04-14T07:23:11Z |
| format | Article |
| id | doaj.art-fe7366c724b14f129921dcc9cd1edc2c |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-14T07:23:11Z |
| publishDate | 2022-09-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-fe7366c724b14f129921dcc9cd1edc2c2022-12-22T02:06:06ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-09-01109e451010.1097/GOX.0000000000004510202209000-00013Harvesting the Entire Seventh Costal Cartilage for Secondary RhinoplastyDong-Woo Jung, MD, PhD0Myung Ju Lee, MD, PhD1From the * Honesty Plastic Surgery Clinic, Seoul, Republic of Korea† VIP International Plastic Surgery Center, Jeju-do, Republic of Korea.Background:. 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.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004510 |
| spellingShingle | Dong-Woo Jung, MD, PhD Myung Ju Lee, MD, PhD Harvesting the Entire Seventh Costal Cartilage for Secondary Rhinoplasty Plastic and Reconstructive Surgery, Global Open |
| 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 |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004510 |
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