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What Kind of Donor Cartilage is Used to Correct a Saddle Deformity During a Septoplasty?

asked 9 months ago by anon
Latest answer by William Portuese, MD
Question viewed 146 times
Tags: cartilage, saddle nose, septorhinoplasty, type

8 answers to What Kind of Donor Cartilage is Used to Correct a Saddle Deformity During a Septoplasty?

+1

Donor cartilage to correct saddle deformity

The donor cartilage being used is usually septal cartilage. This is provided that there is enough septal cartilage left. If the cause of the saddle deformity is such that all the cartilage in the nose has been depleted, then an ear cartilage graft will be used to build this area up.
William Portuese, MD

Seattle Facial Plastic Surgeon
+1

Usually rib cartilage, but septal or ear cartilage may also be used.

Usually rib cartilage is used, although sometimes if the deformity us not extensive septal or ear cartilage can also be used. In some case Weiss bone graft from the scalp beneath the hairline. The scalp has an inner and an outer layer of bone; the outer layer is used for saddle reconstruction.
Babak Larian, MD

Los Angeles Facial Plastic Surgeon
+1

Saddle deformity provides lots of options for correction.

There are a variety of sources for cartilage for reconstruction of the saddle deformity. A saddle deformity is when the top of the nose becomes scooped out either from trauma or previous surgery. To correct this, the dorsum or bridge of the nose needs to be built back up. Most often this is done with cartilage from the septum which can be layered and contoured as needed to give the profile that the surgeon and the patient desire. Other options include cartilage from the ear as well as from... more
Mark Hamilton, MD

Indianapolis Facial Plastic Surgeon
+1

Cartilage Used to Correct a Saddle Deformity in Rhinoplasty

There are a number of alloplastic and autoplastic materials that have been used successfully. Silastic implant, septal cartilage, irradiated cartilage or rib cartilage all will do well in the experienced hand. And that is the key. Obtain several consultations and ask for length of follow ups.
Andrew Pichler, MD

Sacramento Facial Plastic Surgeon
+1

Saddle nose

Correction of this type of deformity requires a graft or implant. What type is chosen can depend on whether only aesthetic profile correction is needed or if structural support (as in loss of the caudal septum) is needed as well. It also depends on the surgeon's experience and preference. Some surgeons will only use the patient's cartilage (septum, ear, rib) and never use a synthetic implant. Some are very comfortable with synthetics. There are pros and cons to each and there... more
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon
+1

What kind of graft is required to fix a saddle nose deformity?

Augmenting the nasal bridge, with a dorsal graft, IMHO is the best way to correct a saddle deformity. IMO< rib cartilage, bone, irradiated cartilage and folded ear cartilage all dissolve unevenly with time and for that reason, I don't use them but prefer a straight silastic nasal implant.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Saddle nose, rhinoplasty

Typically cartilage is harvest from one's own body. The most common source is the septum or the middle part of the nose. If this is not available, then the other options are the ear cartilage or the ribs. The ribs are likely to be the best source of cartilage to correct saddle nose deformities. sometimes you maybe able to avoid rib cartilage harvest, by utilizing ear cartilage that is braced with a resorbable plate to give it rigidity or more structure. Good... more
Shashidhar Kusuma, MD

Plantation Plastic Surgeon
+1

Saddle nose

The correctio of saddle nose requires a graft, the source of the graft depends on how much thickness and length of graft is needed. In very mild cases septal cartilage may suffice, in severe cases rib cartillage graft is needed
Samir Shureih, MD

Baltimore Plastic Surgeon

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