title: Costal Cartilage Grafts in Rhinoplasty.
abstract: Cartilage grafts are regularly used in rhinoplasty. Septal and auricular donor sites are commonly used. Many situations compel the surgeon to use other alternative donor sites, including revision rhinoplasty and trauma. Many patients have a small amount of native septal cartilage and are unable to provide adequate septal cartilage to be used for frequently performed rhinoplasty maneuvers. The rib cage provides an enormous reserve of costal cartilage that can be carved into a variety of necessary grafts. A description of the technique of harvesting costal cartilage, a review of complications and management, and illustrative cases examples are included.
authors.affiliation: Department of Surgery, University of South Alabama Medical Center, 2451 Fillingim Street, Mobile, AL, USA; Facial Plastic and Reconstructive Surgery, Otolaryngology/Head & Neck Surgery, Hershey Medical Center, Pennsylvania State University, 500 University Drive, Hershey, PA 17033, USA. Electronic address: drfredfedok@me.com.
authors.forename: Fred G
authors.initials: FG
authors.lastname: Fedok
mesh_terms: D066186:Costal Cartilage / Q000637:transplantation*; D004210:Dissection / Q000379:methods; D006801:Humans; D018579:Patient Selection; D012225:Rhinoplasty / Q000379:methods*; D020858:Tissue and Organ Harvesting / Q000379:methods*
keywords: Augmentation; Costal cartilage; Grafting in rhinoplasty; Revision rhinoplasty; Rhinoplasty; Rib; Saddle nose; Spreader grafts