Is ear cartilage too weak to make lateral crural extension grafts?

After Septo-Rhinoplasty, I now require lateral crural extension grafts due to valve collapse.

However, my doctor is unsure whether I have enough septal cartilage left to make the grafts with and has suggested the use of my ear cartilage if there is not enough.

However, I am concerned as I have now been informed by another doctor that ear cartilage will be too weak to use. Is this true? Thank you.

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9 answers to “Is ear cartilage too weak to make...”

A: Ear cartilage may weaken over time

Paul S. Nassif, MD

Hello, Ear cartilage may work but may weaken over time. Rib is the best cartilage to use for this procedure. Hope this helps answer your question. Dr. Nassif

A: Lateral Crural Grafts from Ear Cartilage

Tanveer Janjua, MD

These should work just fine. The strength is good enough to avoid collapse of the nasal alae on inspiring.  I have found the cartilage from Triangular fossa (part of the ear) works well to create a relatively flat graft that fits in well. Regards

A: Ear Cartilage is Acceptable in Rhinoplasty

Stephen Prendiville, MD

Ear Cartilage is perfectly acceptable for structural grafting in rhinoplasty.  However, it is a clear second choice to septal cartilage; in my hands it is used in circumstances where septal cartilage is unavailable because it  fractures more easily and is naturally curved in shape.  Although rib... more

A: Ear Cartilage Can Work

D.J. Verret, MD

I would agree with the other surgeons that a second opinion may be in order with an experienced revision rhinoplasty surgeon. While ear cartilage can be used for lateral crural strut grafts, the more important question is - is this the right procedure.

A: Is ear cartilage too weak to make lateral crural extension grafts to correct valve collapse?

Peter A. Aldea, MD

Technically speaking, you are raising 2 different points ; Valve collapse and nasal alar collapse. Collapse or rather pinching of the nasal valve is caused by undue narrowing of the middle of the nose. This condition is USUALLY treated with SPREADER GRAFTS placed along the top of the septum to increased the... more

A: It is not to weak.

Toby G. Mayer, MD

 See an experienced revision rhinoplasty surgeon since this will require a great deal of expertise. It's about the skill of the surgeon in making the lateral crura strong enough.

A: Ear cartilage should work in most cases

Jason Litner, MD

Most surgeons prefer septal cartilage for tip reconstruction when it is available. However, ear cartilage is a wonderful material for supporting the lateral crura with grafts. It is flexible but has some firmness and has a natural curvature similar to the normal lateral tip cartilage. The answer to your... more

A: Lateral Crural Extension Grafts

Amir M. Karam, MD

This is not an easy question to answer without examining your ear and nose.  The fact is, some ears have firm stiff cartilage that would work especially in a nose with weak thin lower lateral cartilage.  On the other hand, if you have weak ear cartilage and firm thick nasal cartilage... more

A: Tissue for lateral crural extension grafts

Robert Mounsey, MD

This is a very technical question.  You using a very precise term.  A lateral crural extension graft usually refers to a non-anatomic graft placed from the pyriform aperture to the lateral crura. Many physicians use septal cartilage.  A double stacked ear cartilage may be an option, some... more

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