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Lateral Crus Graft with Autologous rib cartilage for Cleft Lip Nostril Asymmetry: A Report of 35 Cases

Journal of Huazhong University of Science and Technology(Medical Sciences) 2014年第3期34卷 387-392页

作者：曹玮郗敏周芳冯幼平黄立 Department of Plastic and Aesthetic Surgery Tongji Hospital Tongji Medical College Huazhong University of Science Technology

Summary： A surgical technique of lateral crus strut graft to correct the deformity of nostril contour and improve asymmetric nostril shape by autologous rib cartilage was reported. Thirty-five patients （20 males and 15 females）, with a mean age of 19 years （range of 16-26 years） were included in this study. All of the patients suffered moderate to severe unilateral cleft lip nostril deformity and underwent surgical technique of lateral crus strut graft by autologous rib cartilage to correct the asymmetric nostril contour from 2010 to 2012. The views of the nostril contour on both sides were reviewed and some parameters were measured at different time points （preoperatively, and 3 months and one year postoperatively） including the long axis and short axis of the nostrils. The differences in nostrils including long axis, short axis, elliptical area and eccentricity on the both sides were compared at different time points. The differences in the long axis and eccentricity of the nostrils on the two sides were decreased significantly between the preoperative view and postoperative view （P〈0.05）. The surgical technique of lateral crus graft with autologous rib cartilage is effective to correct the abnormal nostril contour and improve the asymmetry for unilateral cleft clip patients.

关键词： cleft lip rib cartilage nostril

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Revision rhinoplasty using autologous rib cartilage in Asians

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Plastic and Aesthetic Research 2019年第3期6卷 10-25页

作者： Tae-Bin Won Hong-Ryul Jin Department of Otorhinolaryngology-Head and Neck Surgery Seoul National University Bundang HospitalSeongnam 13620South Korea Dr Jin’s Premium Nose Clinic Seoul 06524South Korea

A considerable part of revision rhinoplasty in Asians is associated with problems arising from the use of alloplastic implants. Revising alloplast associated problems of the nose mostly requires the use pf autogenous grafting material to minimize complications and maximize favorable outcomes. Although remnant septal cartilage and/or conchal cartilage can be used, as the deformity becomes more severe, adequate revision requires more volume and strength of grafting materials. Autogenous rib cartilage may be the most practical choice in these circumstances. In this review, common causes of revision rhinoplasty in Asians are discussed together with operative techniques with emphasis on the use of autologous rib cartilage.

关键词： Rhinoplasty Asian revision rib cartilage

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Preoperative considerations, operative preparation,and postoperative care for rib cartilage use in rhinoplasty

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Plastic and Aesthetic Research 2019年第3期6卷 26-32页

作者： Jong Sook Yi Dr.Jin's Premium Nose Clinic Seoul 06524South Korea

rib cartilage is the most reliable material for structural support and dorsal augmentation in Asian rhinoplasty with its robust strength and bountiful amount. Its value is incomparable especially in complex, cartilage-depleted revision surgery or major reconstruction. There are many articles regarding harvesting and carving of rib cartilage in rhinoplasty,however, only few has focused on preoperative and postoperative issues. Preoperatively, evaluating cartilage availability, assessing quality and quantity of cartilage, and choosing the cartilage to harvest are necessary. Although easily overlooked, proper postoperative management of rib cartilage rhinoplasty patients is key to prevent infection and heighten patient satisfaction. Here in, I would like to introduce how I evaluate rib cartilage rhinoplasty patients preoperatively and manage them postoperatively to maximize the surgical results.

关键词： rib cartilage rhinoplasty autologous graft preoperative evaluation postoperative management

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