What happens to upper lateral cartilage of the nose when its disconnected?

Hi I was wondering what happens to the upper lateral cartilage when it is disconnected. It can't just disappear so it must go somewhere? Also can it be reattached or must cartilage be used from somewhere else like the ear or ribs? Also if it can be reattached then does that make getting a broken nose back to the way it was fairly simple (obviously rhinoplasty isn't simple but does it simplify the process)? And also how is the boney part fixed? Are fillers used or other cartilage as well?

Doctor Answers (4)

Upper lateral cartilage

+1
An almost routine part of an open approach to the nose is reattachment of the upper lateral cartilages to the nasal septum after trimming them, placing dorsal spreader grafts or both. The septum and the upper lateral cartilages develop embryologically as one cartilage and should be repaired. They are sutured in place.  If you had a disruption from trauma, they can also be sewn back in place. Failure to re-establish the structure of the upper laterals to the septum can contribute to what is called a inverted V deformity as scar tissue pulls the unattached upper laterals down and out.


Boston Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Upper lateral cartilage

+1
The upper lateral cartilage is the cartilage in the mid portion of the nose, it can be disconnected in trauma or during rhinoplasty maneuvers.  It can be reconnected, and should be in most circumstances or it can result in breathing difficulty and cosmetic deformities such as inverted v deformity and nasal deviations.  The upper lateral cartilage can be reattached to the septum with suture and spreader grafts are usually used to support them into a position which is best cosmetically and to open the airway.  Hope this helps.

Mark Ginsburg, DO
Media Facial Plastic Surgeon
5.0 out of 5 stars 1 review

disconnected upper lateral cartilage from broken nose

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 The upper lateral cartilage can be disconnected from the nasal bones from a traumatic injury or from surgery. From trauma it usually results in a concave or" C" shaped deformity of the nose whereby one upper lateral cartilage is concave and the other one is convex. When both upper lateral cartilages fall inwards after a rhinoplasty, it is called inverted V. deformity. To prevent this, spreader grafts composed the patient's own cartilage are inserted at the angle between the septum and upper lateral cartilage connection to bolster the upper lateral cartilage and push it outwards. This is done for both cosmetic and functional breathing reasons.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

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Nose "disconnected"?

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If I understand your question, the upper lateral cartilage, which gives the side of the nose support can be injured, bent, crushed or damaged.  The ULC does attach to the nasal bone above and  to the tip cartilages below and to the septum in the midline.  It is possible that the ULC could be "disconnected" from its attachments in surgery.  It is usually easier to "graft" or support the side of the nose with another piece of cartilage than trying to "reconnect" the damaged piece.

Jeffrey Ditesheim, MD, FACS
Charlotte Plastic Surgeon
4.5 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.