Oblique Split Rib Graft Surgical method in Primary and Secondary Septorhinoplasty

Background and objective: Rib cartilage is an outstanding material in reconstructive septorhinoplasty, especially in revision surgery with a low rate of complications compared to other materials. In this study the results of oblique splitting of rib operated for primary and secondary septorhinoplasty.Materials and methods: This prospective study was done on patients of saddle or crooked nose that referred to the senior author’s private office between Jan 2015 to Nov 2017. They had primary and secondary septorhinoplasty using autologous costal cartilage carved by the oblique split method (OSM). The postoperative follow-up period ranged from 3 to 36 months (Mean follow up 19months). Findings: These problems were seen in the patients: Saddle-nose deformity in16 cases, crooked-nose deformity in 3 cases, crooked nose and saddle nose in 3 cases and implant infection, inverted V-pinch, destruction of septum in 3 more cases. After Oblique Split Rib Grafts surgery and 3-36 month follow-up (an average of 19 months), the operative outcomes were successful and no severe resorption, infection, warping or displacement was observed related to graft and patients were also satisfied, and there was no complication of the donor-site. All patients did not have any post-operative complication and no complain of nasal distortion during follow up period. Conclusion: OSM allowed obtaining large quantities of graft material without the risk of warping due to include both peripheral and central portions of the rib cartilage

Oblique Split Rib Graft Surgical method in Primary and Secondary Septorhinoplasty Keywords:

OSM , Oblique Split Rib Grafts , primary septorhinoplasty , secondary septorhinoplasty , saddle , cartilage