International Journal of Head and Neck Surgery

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VOLUME 8 , ISSUE 3 ( July-September, 2017 ) > List of Articles

ORIGINAL RESEARCH

Role of Autologous Costal Cartilage Grafts in Otolaryngology Practice: A Surgical Review

Sanjeev Mohanty, Vinoth Manimaran

Keywords : Autologous grafts, Costal cartilage, Laryngotracheal reconstruction, Rhinoplasty

Citation Information : Mohanty S, Manimaran V. Role of Autologous Costal Cartilage Grafts in Otolaryngology Practice: A Surgical Review. Int J Head Neck Surg 2017; 8 (3):93-97.

DOI: 10.5005/jp-journals-10001-1313

License: CC BY-NC 4.0

Published Online: 00-09-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The aim of this article is to describe the advantages and disadvantages of the costal cartilage grafts in reconstruction from the otolaryngologist\'s perspective and have an analysis of the surgical review of the use of this autologous graft in reconstructive procedures. Materials and methods: A retrospective case series was conducted from 2010–2015. A total of 23 patients were selected and they were categorized depending on the defects and reconstructive procedures performed; 6th, 7th, and/or 8th rib grafts were harvested and carved according to the nature and site of the defect. The remodeled grafts were used for augmentation rhinoplasty (14 patients), laryngotracheal reconstruction (7 patients), and microtia repair (2 patients). Results: The age group of study population was 8 to 57 years. All patients had improved outcomes, barring a minimal warping effect in recipient area. Conclusion: High viability, good texture, and availability in large sum make rib grafts ideal for reconstruction in otolaryngological procedures. Clinical significance: Knowledge of various grafts and reconstruction techniques is important for otolaryngologist practice. This study describes briefly about the techniques and role of costal cartilage grafting in the esthetically complex head and neck region.


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