Application of costal cartilage in oriental secondary rhinoplasty

Abstract

Objective To introduce the experience of using costal cartilage in oriental secondary rhinoplasty. Methods From January 2012 to December 2016, we used costal cartilage grafts to obtain a functional and aesthetic reconstruction, in which silicone was used in 34 previous cases and e-PTFE was used in 5 cases. Results The mean duration of follow-up was 1.5 years, 43 (86%) patients showed high satisfaction with the shape of nose. 1 case of infection and 2 cases of costal cartilage warping occurred. 1 case was somewhat dissatisfactied with outcome. There was no case of chest wall deformity and pneumothorax, but scar on the chest wall at the donor site was observed in 2 cases. Conclusions We have obtained good aesthetic results using costal cartilage grafts which could display sufficient and stable support for the scaffold of nose. We can conclude that costal cartilage is a good material in secondary rhinoplasty, and can be used to reconstruct an aesthetic nose. Key words: Autogenous costal cartilage; Secondary rhinoplasty; Satisfaction