Tissue for lateral crural extension grafts

Robert Mounsey, MD answers: 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.


Robert Mounsey, MD
1 month ago
By Robert Mounsey, MD - Toronto Facial Plastic Surgeon

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 surgeons use rib.  To best know what to use in your case you need to consult an expert rhinoplasty surgeon. Best of luck.

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