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Page 6 of 7 Apaydin. Plast Aesthet Res 2019;6:9 I http://dx.doi.org/10.20517/2347-9264.2018.73
A B
C D E
F G H
I J K
L M N
Figure 8. A 28-old female patient had nasal trauma followed by a septal abscess four years ago. She has ended with a short saddle nose.
During examination, the septal cartilage was missing. The sixth rib was harvested and obliquely cut (A, B); a new septum was formed
(C) and sutured to the splinting spreader grafts (D, E); a columellar strut, shield graft and lateral crural onlay grafts were used (F, G, H);
cartilage chips were inserted in rectus abdominis fascia (I, J, K); after two years, the patient was happy with the result (L, M, N)
CONCLUSION
There are two main types of costal cartilage sculpting: symmetrically balanced cross-section and oblique
split method. The author’s clinical experience over the past decade has demonstrated the superiority of the
oblique split method in terms of graft material and reduction in clinical significant warping.
