Overgrowth of a costochondral graft in nasal reconstruction.
Nasal reconstruction with autogenous costochondral graft has been one of the surgical managements in craniofacial clefts. We have recently seen one patient who underwent this operation and the graft had overgrown like as in Pinocchio's nose-overly projecting nasal tip for almost 7 years. This case supports the notion that the costochondral graft itself carries intrinsic factors and the growth of the graft depends mainly on the costochondral graft itself. Therefore we acknowledge "the primary growth center theory" rather than "the functional matrix theory".
Baek
Rong-Min
RM
Department of Plastic Surgery, Seoul National University Bundang Hospital, Gumi-dong 300, Bundang-gu, Sungnam-si, Kyongki-do, Korea. ronbaek@hotmail.com
Lee
Yoonho
Y
Song
Yong-Tai
YT
D016025:Bone Transplantation / Q000009:adverse effects*; D002356:Cartilage / Q000254:growth & development* / Q000637:transplantation*; D002648:Child; D005260:Female; D006801:Humans; D009666:Nose / Q000002:abnormalities* / Q000601:surgery; D009667:Nose Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D012225:Rhinoplasty