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The Anatomical Study of the Nasal Septal Cartilage with its Clinical Implications

  • Original Article
  • Rhinoplasty
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Abstract

Background

Several rhinoplasty and nasal reconstruction procedures require cartilage. Various studies have reported on the nasal septal cartilage as a donor site for Caucasian and Asian populations. However, studies regarding the Thai nasal septal cartilage dimensions are rare. This study aimed to examine the length, height, area, and thickness of the nasal septal cartilage, along with implications of the size and quantity of the available cartilage, for grafting in Thai cadavers.

Methods

We analyzed the nasal septal cartilage in 42 Thai cadavers. The length, height, area, and thickness were digitally measured using ImageJ 1.52 software, along with the size and area of the available cartilage for grafting after preserving a 10-mm L-strut. Data were compared between sexes.

Results

The mean height, length, and area of the nasal septal cartilage were 30.96 ± 5.90 mm, 26.13 ± 6.90 mm, and 636.10 ± 196.13 mm2, respectively. The length did not differ significantly between sexes. However, the height and area in male cadavers were greater than those in female cadavers. The mean thickness ranged from 0.77 to 1.02 mm depending on the area, with the thickest and thinnest areas being the superoposterior and inferoposterior parts, respectively. The mean height, length, and area of the harvestable cartilage were 20.96 mm, 16.13 mm, and 384.84 mm2, respectively, after excluding the L-strut.

Conclusion

Our results provide major anatomical data of the Thai nasal septal cartilage. Its implication for use of the septal cartilage for grafting is 21 mm in height and 16 mm in length, which is sufficiently safe to maintain nasal support.

Level of Evidence IV

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Authors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

    Phakinan Samibut, Jiraroch Meevassana, Poonpissamai Suwajo, Kasama Nilprapha, Pasu Promniyom, Seree Iamphongsai, Apichai Angspatt, Sirachai Jindarak & Pornthep Pungrasmi

  2. Department of Anatomy, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

    Jiraroch Meevassana

  3. Center of Excellence in Burn and Wound Care, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand

    Jiraroch Meevassana, Kasama Nilprapha, Pasu Promniyom, Seree Iamphongsai, Apichai Angspatt, Sirachai Jindarak & Pornthep Pungrasmi

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  1. Phakinan Samibut
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  2. Jiraroch Meevassana
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  3. Poonpissamai Suwajo
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  9. Pornthep Pungrasmi
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Corresponding author

Correspondence to Jiraroch Meevassana.

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The authors declare that they have no conflicts of interest to disclose

Ethical Approval

This cadaveric study was approved by our institution’s review board

Informed Consent

For this type of study, informed consent is not required

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This article does not contain any studies with human participants or animals performed by any of the authors

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Samibut, P., Meevassana, J., Suwajo, P. et al. The Anatomical Study of the Nasal Septal Cartilage with its Clinical Implications. Aesth Plast Surg 45, 1705–1711 (2021). https://doi.org/10.1007/s00266-020-02116-z

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  • DOI: https://doi.org/10.1007/s00266-020-02116-z

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