Using rib: “Smart” Costal Cartilage Rhinoplasty
A – Introductory
B – Comprehensive
C – Advanced
Rib cartilage is invaluable and indispensable graft material, especailly in revision rhinoplasty and primary rhinoplasty for very small and thick-skinned noses. However, this material is difficult to use because of high propensity for donor site morbidity and recipient site morbidity. This lecture will cover the topics of how to harvest rib cartilage, how to design it, and how to use it in various types of nasal deformity. Harvesting technique will be demonstrated by video. Carving technique and placement of grafting will be also demonstrated using high qulity videos. Different septal reinformcement techiques using rib cartilage will be introduced. Three different techniques of dorsal augmentation using rib cartilage will be introduced. Problem solving for complications and unexpected intraoperative happenings will be covered.
Upon completion of this masterclass, the participants can understand the speaker’s rib harvesting technique, use of rib cartilage for septal reinforcement, and three different ways of dorsal augmentation using rib cartilage. This lecture will be useful for the participants as it aims to introduce the “smart” and “frugal” way of using rib cartilage with less morbidity.