The Usefulness of Allogenous Costal Cartilage Graft for Correction of Short Nose and Tip Plasty

짧은 코 교정술과 비첨성형술에 있어서 동종늑연골 (Tutoplast®) 이식의 유용성

  • Choi, Sung Won (Department of Plastic and Reconstructive Surgery, Fatima Hospital) ;
  • Won, Dong Chul (Yedam Plastic and Aesthetic Clinic) ;
  • Lim, Young Kook (Department of Plastic and Reconstructive Surgery, Fatima Hospital) ;
  • Hong, Yong Taek (Department of Plastic and Reconstructive Surgery, Fatima Hospital) ;
  • Kim, Hoon Nam (Department of Plastic and Reconstructive Surgery, Fatima Hospital)
  • 최성원 (대구파티마병원 성형외과) ;
  • 원동철 (대구예담성형외과) ;
  • 임영국 (대구파티마병원 성형외과) ;
  • 홍용택 (대구파티마병원 성형외과) ;
  • 김훈남 (대구파티마병원 성형외과)
  • Received : 2009.08.17
  • Accepted : 2009.09.04
  • Published : 2009.11.10

Abstract

Purpose: Autogenous cartilage is generally first choice in rhinoplasty because of its biocompatibility and resistance to infection. On the other hand, allogeneous cartilage graft might preferred over an autogenous graft to avoid additional donor site scars, morbidity and lengthened operating time. Allogenous costal cartilage ($Tutoplast^{(R)}$) not only have the advantage of averting donor site morbidity but also are resistant to infection, resembling autogenous cartilage graft. We report here a technique for rhinoplasty by using allogenous costal cartilage graft. Methods: Through open rhinoplastic approach, alar cartilage is released from upper lateral cartilage and relocated caudally. After relocation of alar cartilage, allogenous costal cartilage is immobilized by nonabsorbable suture material at caudal aspect of septal cartilage. Caudal end of allogenous costal cartilage is sutured between medial crura of alar cartilage. Tip projection is improved by using interdormal suture, transdormal suture and shield-shape cartilage graft which is harvested from concha Results: No significant resorption and infection was detected in any of patients. Aesthetic and functional results were satisfactory. Conclusion: The low incidence of major complication and versatility of allogeneous costal cartilage graft make safe and reliable source of cartilage graft in rhinoplasty.

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