Abstract
BACKGROUNDRib cartilage is an outstanding material in reconstructive septorhinoplasty, especially in revision surgery with a low rate of complications compared to other materials. In this study, the results of oblique splitting of rib grafts were evaluated in 25 patients operated for primary and secondary septorhinoplasty.METHODSThe prospective case series were undertaken on 25 patients of saddle or crooked nose that referred to the senior author’s private office between January 2015 and November 2017. They had primary and secondary septorhinoplasty using autologous costal cartilage carved by the oblique split method (OSM). The postoperative follow-up period ranged from 3 to 36 months (Mean follow up of 19 months).RESULTSThe problems seen in patients were saddle-nose deformity in 16 cases, crooked-nose deformity in 3, crooked nose and saddle nose in 3 and implant infection, inverted V-pinch, destruction of septum in 3 more cases. After oblique split rib grafts surgery and 3-36 month follow-up (an average of 19 months), the operative outcomes were successful and no severe resorption, infection, warping or displacement were observed related to graft and patients were also satisfied, and there was no complication of the donor-site. The patients did not have any post-operative complications and no complain of nasal distortion during follow up period.CONCLUSIONOSM allowed obtaining large quantities of graft material without the risk of warping due to inclusion of both peripheral and central portions of the rib cartilage.
Highlights
Nasal osteocartilagineous framework reconstruction is the foundation of augmentation rhinoplasty.[1]
The procedure included oblique split method (OSM) technique and complications such as warping or displacement, resorption and donor site morbidity were evaluated in follow up duration by visiting the patients and clinical evaluation. the cartilage of fifth or sixth rib graft was harvested and for cosmetic reason, the incision line would be on infra-mammary line in woman and the length of skin incision should be 3 to 4 cm (Figure 1).[4]
25 patients underwent primary and secondary septorhinoplasty; 15 cases were female and 10 cases were male with the mean age of 27.41±8.34 years
Summary
Nasal osteocartilagineous framework reconstruction is the foundation of augmentation rhinoplasty.[1]. 238 Oblique split rib grafts in septorhinoplasty cartilages,[2] that the former is preferred for many reasons such as less immune reaction and infection. It can be harvested from nasal septum, auricular concha or rib cartilages.[1] For all types of aesthetic and functional requirements of rhinoplasty an abundant supply of cartilage is offered by the rib that provides reliable structural support. The results of oblique splitting of rib grafts were evaluated in 25 patients operated for primary and secondary septorhinoplasty
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