Ujam Atheer B, Vig Navin, Nasser Nasser
Department of Oral and Maxillofacial Surgery, King's College Hospital, London, United Kingdom.
Department of Oral and Maxillofacial Surgery, Barts NHS Trust, Whipps Cross University Hospital, London, United Kingdom.
Facial Plast Surg. 2023 Feb;39(1):93-97. doi: 10.1055/s-0042-1749167. Epub 2022 Sep 13.
Autologous costal cartilage for rhinoplasty is an excellent graft material providing both volume and quality of cartilage required for nasal reconstruction. Commonly, the 5th, 6th, 7th, and 8th rib costal cartilages have been harvested but other ribs such as the 10th rib are often overlooked and yet offer an excellent graft option for columellar, alar rim, nasal tip, and dorsal augmentation grafts. The use of the 10th rib costal cartilage in patients with complex secondary cleft nasal deformity has scant reference in the literature. We demonstrate our simple and quick 10th rib cartilage harvesting technique and elicit its use in secondary rhinoplasty and cleft lip nasal deformities. The advantages of harvesting the 10th rib cartilage and our long-term results demonstrating ease of harvest, stability, and predicable outcomes are with several clinical cases. The senior author has used the 10th rib graft successfully in a variety of challenging secondary cleft rhinoplasty procedures with excellent and consistent outcomes. We advocate the use of the 10th rib graft in such procedures as it is easy to harvest, is a dynamic cartilage graft, and offers predictable results with low levels of complications.
自体肋软骨用于鼻整形术是一种出色的移植材料，可为鼻再造提供所需的软骨量和质量。通常，会采集第5、6、7和8肋软骨，但其他肋骨，如第10肋，常常被忽视，然而它为鼻小柱、鼻翼缘、鼻尖和鼻背增高移植提供了出色的移植选择。在复杂的继发性腭裂鼻畸形患者中使用第10肋软骨在文献中鲜有提及。我们展示了我们简单快速的第10肋软骨采集技术，并阐述其在二期鼻整形术和唇裂鼻畸形中的应用。通过几个临床病例展示了采集第10肋软骨的优势以及我们的长期结果，即采集容易、稳定性好且结果可预测。资深作者已在各种具有挑战性的二期腭裂鼻整形手术中成功使用第10肋移植，效果出色且一致。我们提倡在这类手术中使用第10肋移植，因为它易于采集，是一种动态软骨移植，并发症发生率低且效果可预测。
