CASE REPORT   

Chirurgia 2005 December;18(6):513-6

Copyright © 2005 EDIZIONI MINERVA MEDICA

language: Italian

Autologous 11th costal cartilage graft in a case of iatrogenous nasal deformity

Memmo L., Araco F., Cervelli V., Araco A.

Despite alloplastic materials are becoming more and more biocompatible because of the technical progress, the use of autologous materials has not been abandoned in secondary rhinoplasty because it still offers good solutions and excellent results. Authors present an interesting case of nasal pyramid reconstruction using 11th costal cartilage graft in a primary rhinoplasty outcome. The procedure has been executed at the Unit of Plastic and Reconstructive Surgery of the Tor Vergata University in Rome. We prefer the 11th costal cartilage graft because is easily carved, keeps the thickness along time and for its easy revision. In addition, it does not present the complications of the artificial materials and in comparison to bone grafts is elastic and flexible, so it does not break. According to our observations and results, we recommend the 11th costal cartilage graft as an excellent option for the nasal dorsum and columella reconstruction. In particular, when a serious saddle nose and a deficit of the sagittal projection are present and in all cases when an important support for the nasal dorsum is required.