How much septal cartilage is there in the average pre-op nose?
Doctor Answers 4
How much septal cartilage
Determining the Amount of Septal Cartilage Available for Rivision Rhinoplasty
How much septal cartilage is in the nose?
As a rhinoplasty surgeon, I wish I could know how much septal cartilage was in someone's nose before surgery. It would make discussions about using cartilage from the or rib easier. Beyond the size, the quality of the cartilage is important. The thickness, whether it has cracks in it, and the stiffness of the cartilage are important too. The surgeon also needs to correlate the amount of cartilage present and the amount cartilage grafting that is necessary.
Fortunately, the majority of primary cases have adequate cartilage in the nose. I like to discuss the backup options of harvesting cartilage from the ear or rib so there are no surprises for the patient.
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How much septum do I" have left after primary rhinolpasty?
Since the septum is a semi rigid structure it may be deduced upon palpation or movement the amount remaining. This is not exact science.
The septum may have been used in your primary rhinoplasty or removed because of obstruction.
An excision of 3 cm X 1.5 cm amount should leave you enough support. But it may not be easily accessible due to posterior placement and anatomy.
Additional cartilage can be found in your ribs or ear if necessary for another procedure.