What grafts can be used to replace missing lateral crura and which graft material would be best?
Doctor Answers 6
Lateral Crura Strut Grafts and Alar Batten Grafts in Pinched Nose
I typically rely on the lateral crural strut graft technique when too much native cartilage has been resected. Strut grafts are placed under the remaining native cartilage (underlay) and often possess a mechanical advantage over the alar batten graft, which is placed on top of the native cartilage (overlay). However, both types of grafts can be used to correct pinching and collapse, especially when they are made to overlap onto the maxillary bone or pyriform aperture. The choice of underlay or overlay graft, as well as the size of the graft, depends on anatomic need and the preference of the surgeon. If available, I prefer septal cartilage because it is strong yet thin, and not prone to warping. Secondary choices include rib cartilage and ear cartilage. Ear cartilage can be weak and fragile, while rib cartilage becomes calcified in older patients and is prone to warping. Best wishes.
Which cartilage is best for post operative pinched nasal tip
Properly screened and preserved homografts can also be used, good luck.
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