Does K Wire Have to Always Be Used when Using Rib Cartilage Grafts for Rhinoplasty ?

The essential benefit of a K-wire placed through the core of the rib graft (length-wise) is to prevent the graft from warping over time. One can also use K-wire to fix the graft in place or use any of the other methods described below. The main role of K-wire use is to prevent warping.

Hello,

As a quick answer, the K-wire is not a requirement when performing a rib cartilage grafting but some surgeons feel more comfortable using it to minimize possible warping of the graft.

With that perspective, the skills of the surgeon of choice are the focal point when it comes to cartilage grafting during a rhinoplasty; the main idea is to obtain natural-looking commendable results with the ability to be sustained for years without delayed complications.

That being said, please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of additional corrective surgeries dramatically.


I hope this helps and please feel free to check the website below.

Thank you for your inquiry.
The best of luck to you.



Dr. Sajjadian

In short, K wire doesn't have to be used when placing rib cartilage grafting. Some surgeons utilize it more than others, but it certainly isn't a requirement.

Rib grafts are most commonly used for revision rhinoplasty (nasal surgery on patients who have had prior surgery). They provide excellent structural support for the nose, but are well known to warp (bend) gradually over time. A K-wire is a surgical wire that can be inserted into the graft to reduce bending over time. Other techniques utilized to reduce warping include harvesting the mid-portion of the graft, crushing the cartilage, or dicing the cartilage into multiple small pieces that are usually wrapped in temporalis facia (connective tissue from the temple). Discuss the options and differences with your surgeon. Good luck.

The K-wire is used to secure the rib cartilage in a desired location during a rhinoplasty.  Cartilage can be secured with sutures as well.  It is up the surgeon's preference which he prefers.  There are times when a K-wire is preferred.  In reconstructive rhinoplasties where major work is required to rebuild a nose from trauma or cancer a K-wire is the strongest option for support of rib cartilage to build a foundation.  


I hope this helps!