Why we used Rib grafts in rhinoplasties and secondary septoplasties
Rib grafts in rhinoplasties and secondary septoplasties
The nose has an extremely effective, precise and delicate anatomy that is ultimately responsible for its shape, its proportions and its position. To reconstruct this anatomy freely and accurately, in special cases it may be necessary to resort to cartilage grafts obtained from a rib. In this article we will see why the rib is chosen as a source of grafts, what advantages it has, how it is used and what complications may arise. If you are searching experinece Rhinoplasty Surgeon in Pakistan then you are at right place and visit us ....
Why we choose the rib in some secondary rhinoplasty.
As we saw in another post related to the use of rhinoplasty grafts , these are frequently necessary in patients with a history of rhinoplasty or previous trauma. This need is given because we will need to redo, supplement or replace the anatomical structures of the nose that have been damaged and can not be reconstructed. The problem is that to perform these jobs we will need a large enough amount of cartilage to cover our needs.
Under normal conditions the nasal septum or concha of the auricular cartilage offer sufficient quantity and quality of cartilage to cover the needs of uncomplicated secondary rhinoplasty. Both structures can offer between 2 and 4 cm2 of useful surface that is usually sufficient to make partial corrections in the tip and / or the back.
But we can meet with special patients in which:
We appreciate anatomical and / or cicatricial alterations that are especially serious.
- We can not resort to the nasal septum or the auricular shells because they are already operated or are damaged (by a perforation, for example).
- The ears are intact and the septum is not operated, but we need enough straight and flat segments of cartilage or we need surfaces larger than 4 cm2.
- In addition to a wide and straight cartilage surface, we need segments of soft tissues such as the fascia or perichondrium of the cartilage.
- We need to make a "paste" of cartilage that allows us to model complicated areas of the nose without distortions and whose manufacture consumes a lot of cartilage.
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