When Did E.N.T.'s Start Doing Rib Cartilage Harvesting for Revision Rhinoplasty?

Question

About ten years ago you never heard of an e.n.t/facial plastic surgeon harvesting rib cartilage for grafting in the nose. I believe only general plastic surgeons performed such surgery. Did the medical college loosen any regulations that allowed for this or is this because rib cartilage grafts in nose are more commonly performed today & e.n.t.s/facial plastic surgeons now take extra accredited training courses?

Stephen Prendiville, MD · Answer

The term ENT is a sort of slang for Otolaryngologist-Head and Neck Surgery, a regional surgical specialty of the head and neck.  Harvesting rib grafts is a basic technique for head and neck reconstruction, as it is for facial plastic surgery.  As for facial plastic surgery, the major influence on many techniques in modern plastic surgery was an Otolaryngologist named Sir Harold Delf Gillies.  Therefore, one could say that facial plastic surgeons (who are generally Otolaryngologists) "start" doing rib grafts when they start their training, just as general plastic surgeons do.  As far as rhinoplasty goes, a well trained and experienced facial plastic surgeon or plastic surgeon should suit your needs

Ramtin Kassir, MD, FACS · Answer

A good historical question; see previous answers that otolaryngologists and facial plastic surgeons have indeed been harvesting rib for some time.  I have a busy revision rhinoplasty practice, and rarely use autogenous rib.  Most of the time septal or ear cartilage, and sometimes cadaver rib suffice.  We also have seen an uptrend for nonsurgical rhinoplasty (restylane, perlane, radiesse to fill nasal defects) because of higher risks and costs of revision surgeries.

Jay Calvert, MD, FACS · Answer

Rib cartilage is a versatile material for nasal reconstruction and revision rhinoplasty.  ENT Surgeons and Plastic Surgeons alike harvest rib cartilage for nasal reconstruction and have done so for quite some time.  The real question is does your surgeon perform this procedure on a regular basis?  Experience counts a great deal when harvesting and using rib cartilage.

Richard W. Maloney, MD · Answer

This is a good question.

	The previous responses are correct. Otolaryngologists who do Rhinoplasty were using Autogenous Rib grafts when I was in Med School in the 70's. I have been using rib cartilage since 1976.

William Portuese, MD · Answer

Both facial plastic surgeons and plastic surgeons perform rib grafts for nasal reconstruction.  Its very important to go to reconstructive/ Cosmetic rhinoplasty specialist who has extensive experience in noses.  Rib grafts are not used very often unless there is  reconstructive needs  that  are too extensive for nasal and  ear cartilage

When Did E.N.T.'s Start Doing Rib Cartilage Harvesting for Revision Rhinoplasty?

Answers (7)

Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

Answer: Rib cartilage for rhinoplasty

Answer: Rib cartilage for rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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When Did E.N.T.'s Start Doing Rib Cartilage Harvesting for Revision Rhinoplasty?

Answers (7)

Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

Answer: Rib cartilage for rhinoplasty

Answer: Rib cartilage for rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.