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Harvesting Rib Cartilage Grafts for Secondary Rhinoplasty

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Advanced Aesthetic Rhinoplasty

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Abstract

A sufficient amount of strong yet flexible cartilage is the basis on which a successful secondary rhinoplasty is built. The correction of both functional as well as cosmetic deformities frequently requires considerable amounts of grafting material. Grafts associated with high success and low resorption rates are imperative for successful outcomes. Five distinct donor sites exist for harvest: septal cartilage, auricular cartilage, rib cartilage, and iliac and calvarial bone. Rib cartilage is the preferred source of graft material in primary and revision rhinoplasty when septal sources are not available. Rib cartilage provides an abundant source of rigid yet flexible cartilage grafts ideally suited for rhinoplasty. Grafts are easily produced with considerable variation regarding the length, width, as well as shape of the grafts. The operative technique and possible risks and complications are discussed.

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Author information

Authors and Affiliations

  1. Marin Aesthetics, 1431 Camino Del Mar, Del Mar, CA, 92014, USA

    Vincent P. Marin M.D., FACS

  2. Gunter Center for Aesthetics and Cosmetic Surgery, 8144 Walnut Hill Lane, Suite 170, Dallas, TX, 75231, USA

    C. Spencer Cochran M.D.

  3. Department of Otolaryngology – Head and Neck Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA

    C. Spencer Cochran M.D.

Authors
  1. Vincent P. Marin M.D., FACS
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  2. C. Spencer Cochran M.D.
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Corresponding author

Correspondence to Vincent P. Marin M.D., FACS .

Editor information

Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

  2. Department of Plastic Surgery, Regional Hospital-Ancona, Ancona, Italy

    Alberto Di Giuseppe

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© 2013 Springer-Verlag Berlin Heidelberg

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Marin, V.P., Cochran, C.S. (2013). Harvesting Rib Cartilage Grafts for Secondary Rhinoplasty. In: Shiffman, M., Di Giuseppe, A. (eds) Advanced Aesthetic Rhinoplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28053-5_74

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  • DOI: https://doi.org/10.1007/978-3-642-28053-5_74

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-28052-8

  • Online ISBN: 978-3-642-28053-5

  • eBook Packages: MedicineMedicine (R0)

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