Nose reconstruction with costal cartilage from a tissue bank

Reconstrucción nasal con cartílago costal de banco de hueso

Report on ten patients with rhinoseptal deformity of trauma, infection and unsuccessful surgery etiology. The main complaint was nasal obstruction besides aesthetic deformity. All were seen at the otolaryngology outpatient clinic at Hospital de San José, Bogotá DC. Reconstruction with costal cartilage obtained from a tissue bank was conducted by an open approach. Minimum follow-up duration was 7 weeks and maximum 16 weeks. Patients were assessed with pre and postsurgical photographs. No infection of the surgical site or graft extrusion was observed. Functional and aesthetic improvement was evaluated by patients and surgeons, rated good or excellent. The application of this technique yielded good results for different age groups and etiologies.

1. Defatta RJ, Williams EF.The decision process in choosing costal cartilage for use in revision rhinoplasty. Facial Plast Surg. 2008; 24(3): 365-71.
2. Paun SH, NolstTrenité GJ. Revision rhinoplasty: an overview of deforrnities and techniques. Facial Plast Surg. 2008; 24(3): 271-87.
3. Kridel RW, Soliemanzadeh P.Tip grafts in revision rhinoplasty. Facial Plast Surg Clin North Am. 2006; 14(4): 331-41, vi.
4. Sandel HD, Perkins SW. Management of the short nose deforrnity in revision rhinoplasty. Facial Plast Surg. 2008; 24(3): 310-26.
5. RomoT, Kwak ES. Nasal grafts and implants in revision rhinoplasty. Facial Plast Surg Clin North Am. 2006; 14(4): 373-87, vij_
6. Fedok FG Correction of dorsal abnorrna]jties in revision rhinoplasty. Facial Plast Surg. 2008; 24(3): 327-38.
7. Paun SH, NolstTrenité GJ. Revision rhinoplasty: an overview of deforrnities and techniques. Facial Plast Surg. 2008; 24(3): 271-87.
8. Defatta RJ, Williams EF.The decision process in choosing costal cartilage for use in revision rhinoplasty. Facial Plast Surg. 2008; 24(3): 365-71.
9. Yilmaz M, Vayvada H, et al. Dorsal nasal augmentation with rib cartilage graft: long-terrn results and patient satisfaction. J Craniofac Surg. 2007; 18(6):1457-62.
10. Nassif PS. Male revision rhinoplasty: pearls andsurgicaltechrnques. Facial Plast Surg. 2005; 21(4): 250-70.
11. RomoT 3rd, Kwak ES. Nasal grafts and implants in revision rhinoplasty. Facial Plast Surg Clin North Am. 2006; 14(4):373-87.
12. Bracaglia R, Fortunato R, et al. Secondary rhinoplasty. Aesthetic Plast Surg. 2005; 29(4):230-9.
13. Sherris DA, Kem EB. The versatile autogenous rib graft in septorhinoplasty. Am J Rhinol. 1998; 12(3):221-7.
14. Lefkovits G. Irradiated homologous costal cartüage for augmentation rhinoplasty. Ann Plast Surg. 1990; 25(4):3 I 7-27.