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The current trend of autologous costal cartilage harvest by facial plastic surgeons for rhinoplasty in the United States

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Plastic and Aesthetic Research 2019年第2期6卷 1-7页

作者： Clara M.Olcott Steven J.Pearlman Inland Ear Nose&Throat-Facial Plastics UplandCA 91784USA Pearlman Aesthetic Surgery New YorkNY 10022USA

Aim: To assess the safety profile and practice trend of autologous costal cartilage harvest by facial plastic surgeons in the United States (US).Methods: A 10-question online survey was distributed by the American Academy of Facial Plastic and Reconstructive Surgery to its ***: Of the 2,639 members, 2,379 received the survey with 137 (5.76%) members responded. The majority (33.6%)of the respondents were expert facial plastic surgeons. One hundred and nine (79.6%) of the respondents performed rib harvest with 49.6% of them performing the procedure at a hospital facility. Among them, 21.5% exclusively performed their surgery at an ambulatory surgical center not physically attached to a hospital while 6.67% of them at the in-office accredited operating room. When comparing techniques, 64.7% performed only full-thickness rib grafts vs. 12.0%harvesting partial-thickness rib grafts. Most used an incision length between 2.1 and 4 cm (64.4%) while 2 surgeons used autologous rib harvest remained low (autologous rib grafting while 15.0% always would. For pain management, most respondents (50.4%) did not utilize any additional analgesia protocol besides oral pain ***: Two thirds of the US facial plastic surgeons performed autologous costal cartilage harvest in a hospital setting. Routine chest imaging or overnight observation post-operatively was not warranted as the percentage of pneumothorax remained low and pain control was adequate.

关键词： Rib graft autologous costal cartilage rhinoplasty current practice pneumothorax

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Use of autologous costal cartilage Combined with Expanded Polytetrafluoroethylene in Asian Rhinoplasty

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Chinese Journal of Plastic and Reconstructive Surgery 2020年第2期2卷 69-77页

作者： Yang AN Jianfang ZHAO Lu LU Yonghuan ZHEN Xiaojie TAN Dong LI Department of Plastic Surgery Peking University Third Hospital49 North Garden RoadHaidian DistrictBeijing100191China Department of Plastic Surgery Peking University International HospitalBeijing102206China School of Life Sciences College of MedicalVeterinary and Life SciencesUniversity of GlasgowGlasgowG128QQUnited Kingdom

Background The corresponding author's experience and recent methods employed in autologous costal cartilage grafts combined with expanded polytetrafluoroethylene(ePTFE)in Asian rhinoplasty were presented in this *** The purpose of this study was to assess the outcomes of rhinoplasty performed on patients using autogenous costal cartilage grafts combined with an ePTFE *** Seventy-five rhinoplasty cases with autologous costal cartilage grafts and an ePTFE implant were retrospectively *** types,complications associated with the graft itself or graft harvesting,surgical outcomes,and patient satisfaction were *** The mean follow-up time post-operation was 13.5 months.A total of 42/75 patients underwent revision ***-related complications were found in 8%of cases,including two warped graft and four infection *** individuals with infections had mild graft *** patient with an infection removed the *** exposure,mobility,and substantial resorption were not recorded.A total of two cases underwent revision procedures for infection and perforation,*** incision lengths for graft harvesting averaged 2.1 *** pneumothorax or significant donor-site pain was ***-site scars were negligible,although two cases had hypertrophic chest *** general,functional and esthetic outcomes were mostly satisfactory among the assessed *** Rhinoplasty using autologous rib cartilage provides adequate support and sufficient cartilage amounts for correcting nasal ***,ePTFE alone for nasal dorsum augmentation safely achieves satisfactory *** cartilage rhinoplasty performed by an experienced surgeon yields excellent,long-lasting results with minimal risk;however,the potential for infection should be considered following revision surgery.

关键词： Asian rhinoplasty autologous costal cartilage ePTFE implant

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Donor-Site Morbidity Following Harvest of autologous costal cartilage in Microtia Reconstruction

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Modern Plastic Surgery 2024年第4期14卷 57-73页

作者： Surendra Jung Basnet Khushboo Gurung Satya Raj Paudel Qingguo Zhang Plastic Surgery Hospital of Chinese Academy of Medical Science Peking Union Medical College Beijing China Nepal Plastic Cosmetic and Laser Center Kathmandu Nepal

Objectives: The objective of this study is to evaluate donor-site morbidity after costal cartilage harvest for microtia reconstruction. Methods: A total of 70 patients who underwent autologous costal cartilage harvest for microtia reconstruction from March 2008-March 2009 were included. Anterior chest wall deformity was evaluated with chest topography, and scar quality at baseline and at 6-months follow-up, and final outcomes analyzed with SPSS. Results: In 70 patients, 52 (74%) were male, 18 (26%) were female, and altogether 40 (57%) patients developed deformity. At 6-month follow-up, the incidence of anterior chest wall deformity was highest at 80% in Block-III, and least at 0% in Block-I. The 6 - 10 years age group was the largest group at 84% (21), and also with highest incidence of deformity in association to Block-IV harvest at 83%. The incidence of donor-site deformity was higher in female gender at 66%, and 54% in males. But in the sub-group, male had higher incidence of deformity at 75% in both Block-III, and Block-IV when compared to the respective females. The 120 - 135 cm height group had the highest deformity at 67% with Block-IV costal cartilages harvested. At the three measurement points: 1) xiphisternum, 2) intersecting points between PSL and LCM, and 3) intersecting points between MCL and LCM, significant differences (mean) were observed in chest circumference from baseline to 6-month follow-up, and between the left and right chest hemi-circumference (postoperatively). Acceptable donor-site scar was observed in all but 3% (2) developed hypertrophic scar. Conclusion: The development of chest wall deformity was observed when more than one costal cartilage was harvested, particularly the 6th (complete), 7th, 8th block. Therefore, to minimize the deformity, we recommend harvesting only the necessary amount of cartilage, and at the lowest level possible to avoid injury of costochondral junction. Additionally, age, height, gender and chest development are

关键词： Chest Wall autologous costal cartilage Deformity Microtia

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Application of autologous costal cartilage Scaffold in Reconstruction of Microtia Ear

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Chinese Journal of Plastic and Reconstructive Surgery 2019年第3期1卷 24-27页

作者： Xiao-nan LIAO Xin-xin REN Chen-yang LIU Department of Plastic Surgery Nanyang Central HospitalHenan ProvinceNanyang CityHenan Province473000China

Objective To investigate the application effect and manufacturing skills of autologous costal cartilage scaffold in ear reconstruction for *** From January 2016 to January 2019,41 patients with microtia reconstruction in our hospital were selected,all of whom were type II or type III pediatric *** patients underwent auricle reconstruction and retroauricular skin expansion and autologous costal cartilage *** first stage of the operation is to insert a skin dilator behind the residual ear and inject water to *** second stage of the operation is to carve and repair the soft ribs(usually 6 or 7 ribs)from the body,make a three-dimensional auricle support for auricle reconstruction,place a negative pressure drainage tube,and follow up for 3 to 6 months to observe the three-dimensional shape of the reconstructed auricle and the formation of cranioauricular *** 41 patients with microtia had good three-dimensional shape of auricle reconstruction,normal auricle position,moderate cranioauricular angle,good helix and triangular fossa structure,and good bilateral *** and their families were satisfied with the effect of auricle *** autologous costal cartilage is a good scaffold for auricle *** is through efficient and elaborate carving and splicing that a good three-dimensional auricle structure can be *** with early flap expansion,a good postoperative appearance effect can be obtained,which is the appropriate method for auricle reconstruction at present.

关键词： Microtia Ear reconstruction Skin expansion method autologous costal cartilage Ear stent

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