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Nasal Reconstruction Using Rib Grafting with Cold Light Source Technology

  • Original Article
  • Rhinoplasty
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Although costal cartilage is a reliable source of cartilage for rhinoplasty and provides a strong scaffold for total nasal reconstruction, traditional collection techniques may cause complications at the donor site. In this paper, we report a simple and safe technique for harvesting full-length costal cartilage and its application in total nasal reconstruction.

Methods

From May 2018 to December 2020, 24 patients with nasal defects, including 16 females and eight males, received nasal reconstruction in the Rhinoplasty and Repair Center of the Plastic Surgery Hospital of the Chinese Academy of Medical Sciences. Clinical outcomes were evaluated during the postoperative stay at the hospital and at the 6–30-month follow-up.

Results

The operative time of cartilage harvesting ranged from 30 to 60 min. The patients could walk freely one day after surgery. The average ± standard deviation of Visual Analog Scale scores for pain at the harvested site were 2.583 ± 0.717 (at rest) and 4.750 ± 0.794 (during coughing) 6 h after surgery. We observed no complications (e.g., pleural perforation, pneumothorax, or massive bleeding) due to rib grafts in any patients. During the 6–30 months of follow-up, all patients had complete healing of both donor and recipient sites. The surgical results were rated as satisfactory or good by the patients and surgeons.

Conclusions

This new cold light source-assisted costal cartilage harvest technique allows full-length costal cartilage to be obtained for total nasal reconstruction, with minimal donor site complications, short operation time, fast postoperative recovery, and high satisfaction among patients and surgeons.

Level of Evidence IV

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Acknowledgements

We would like to thank the patients for providing consent for the publication of these cases. We would like to thank BEIJING MEDICAL VIEW LENS TECHNOLOGY CO., LTD for helping to complete the schematic illustration of the Costal Cartilage Harvest.

Funding

This study was funded by the Foundation of the Chinese Academy of Medical Sciences-Plastic Surgery Hospital (3060120043).

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Authors and Affiliations

Authors

Contributions

XZ, YX, and RZ contributed to this work equally. XZ was responsible for the study design, surgical procedures, data interpretation and manuscript drafting. YX and RZ were responsible for the surgical operation, data acquisition and data analysis. WD and JG participated in postoperative follow-up, data analysis, and manuscript discussions. HW and JY participated in the discussion and revision of the manuscript. FF was responsible for the design of the study, revision of the manuscript, and final approval of the version to be published.

Corresponding author

Correspondence to Fei Fan.

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The authors declare that there is no conflict of interest regarding the publication of the paper.

Human or Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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For this type of study, informed consent was not required.

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Zhang, X., Xu, Y., Zheng, R. et al. Nasal Reconstruction Using Rib Grafting with Cold Light Source Technology. Aesth Plast Surg 46, 2404–2412 (2022). https://doi.org/10.1007/s00266-022-02842-6

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  • DOI: https://doi.org/10.1007/s00266-022-02842-6

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