Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

The Clinical Analysis of the Nasal Septal Cartilage by Measurement Using Computed Tomography

  • Hwang, So Min (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Lim, On (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Hwang, Min Kyu (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Kim, Min Wook (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Lee, Jong Seo (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital)
  • Received : 2016.05.25
  • Accepted : 2016.09.12
  • Published : 2016.09.20
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The nasal septal cartilage is often used as a donor graft in rhinoplasty operations but can vary widely in size across the patient population. As such, preoperative estimation of the cartilaginous area is important for patient counseling as well as operating planning. We aim to estimate septal cartilage area by using facial computed tomography (CT) studies. Methods: The study was performed using facial CT images taken from 200 patients between January 2012 to July 2015. Using the mid-sagittal image, the boundary of cartilaginous septum was delineated from soft tissue using the mean difference in signal intensity (or brightness). The area within this boundary was calculated. The calculated area for septal cartilage was then compared across age groups and sexes. Results: Overall, the mean area of nasal septal cartilage was $8.18cm^2$ with the maximum of $12.42cm^2$ and the minimum of $4.89cm^2$. The cartilage areas were measured to be larger in men than in women (p<0.05). The area decreased with advancing age (p<0.05). Conclusion: Measuring the size of septal cartilage using brightness difference is more precise and reliable than previously reported methods. This method can be utilized as the standard for prevention of postoperative complication.

Keywords

References

  1. Kim JH, Jung DJ, Kim HS, Kim CH, Kim TY. Analysis of the development of the nasal septum and measurement of the harvestable septal cartilage in Koreans using three-dimensional facial bone computed tomography scanning. Arch Plast Surg 2014;41:163-70. https://doi.org/10.5999/aps.2014.41.2.163
  2. Sajjadian A, Rubinstein R, Naghshineh N. Current status of grafts and implants in rhinoplasty: part I. autologous grafts. Plast Reconstr Surg 2010;125:40e-49e. https://doi.org/10.1097/PRS.0b013e3181c82f12
  3. Miles BA, Petrisor D, Kao H, Finn RA, Throckmorton GS. Anatomical variation of the nasal septum: analysis of 57 cadaver specimens. Otolaryngol Head Neck Surg 2007;136:362-8. https://doi.org/10.1016/j.otohns.2006.11.047
  4. Kim JS, Jang PY, Choi TH, Kim NG, Lee KS. The dimension of the septal cartilage using the cadaver study. J Korean Soc Aesthetic Plast Surg 2006;12:29-32.
  5. Kim IS, Lee MY, Lee KI, Kim HY, Chung YJ. Analysis of the development of the nasal septum according to age and gender using MRI. Clin Exp Otorhinolaryngol 2008;1:29-34. https://doi.org/10.3342/ceo.2008.1.1.29
  6. Kim J, Cho JH, Kim SW, Kim BG, Lee DC, Kim SW. Anatomical variation of the nasal septum: Correlation among septal components. Clin Anat 2010;23:945-9. https://doi.org/10.1002/ca.21045
  7. Homicz MR, McGowan KB, Lottman LM, Beh G, Sah RL, Watson D. A compositional analysis of human nasal septal cartilage. Arch Facial Plast Surg 2003;5:53-8. https://doi.org/10.1001/archfaci.5.1.53
  8. Collawn SS, Fix RJ, Moore JR, Vasconez LO. Nasal cartilage grafts: more than a decade of experience. Plast Reconstr Surg 1997;100:1547-52. https://doi.org/10.1097/00006534-199711000-00027
  9. Tardy ME Jr, Denneny J 3rd, Fritsch MH. The versatile cartilage autograft in reconstruction of the nose and face. Laryngoscope 1985;95:523-33.
  10. Gunter JP, Rohrich RJ. External approach for secondary rhinoplasty. Plast Reconstr Surg 1987;80:161-74. https://doi.org/10.1097/00006534-198708000-00001
  11. Vetter U, Heit W, Helbing G, Heinze E, Pirsig W. Growth of the human septal cartilage: cell density and colony formation of septal chondrocytes. Laryngoscope 1984;94:1226-9.
  12. Kim JE, Park HS, Yoon CH, Kim HJ. Analysis of nasal septal fracture combined in nasal bone fracture using computerized tomography. J Korean Soc Plast Reconstr Surg 1998;25:852-9.

Cited by

  1. Dorsal Hump Reduction Based on the New Ethmoidal Point Classification: A Clinical and Radiological Study of the Keystone Area in 138 Patients vol.40, pp.9, 2016, https://doi.org/10.1093/asj/sjaa030
  2. Multilayered Costal Cartilage Graft for Nasal Dorsal Augmentation vol.44, pp.6, 2016, https://doi.org/10.1007/s00266-020-01712-3
  3. Folded Cymba Concha: Is It Large and Stable Enough for Caudal Septal Extension Graft in Asian Rhinoplasty? vol.41, pp.7, 2016, https://doi.org/10.1093/asj/sjab079
  4. Morphological and Molecular Evaluation of the Tissue Repair following Nasal Septum Biopsy in a Sheep Model vol.13, pp.2, 2016, https://doi.org/10.1177/19476035211046040