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Göksel et al. Plast Aesthet Res 2019;6:17 Plastic and
DOI: 10.20517/2347-9264.2019.12 Aesthetic Research

Technical Note Open Access

Endoscopic-assisted rib cartilage harvesting for
revision rhinoplasty

Abdülkadir Göksel , Emre Ilhan 2
1
1 RinoIstanbul Clinic, Istanbul 34740, Turkey.
2 RinoCenter Clinic, Istanbul 34740, Turkey.

Correspondence to: Dr. Abdülkadir Göksel, RinoIstanbul Clinic, Bağdat Cad. Zümrüt Apt. No. 378, Istanbul 34740, Turkey.
E-mail: akgoksel@gmail.com

How to cite this article: Göksel A, Ilhan E. Endoscopic-assisted rib cartilage harvesting for revision rhinoplasty. Plast Aesthet Res 2019;6:17.
http://dx.doi.org/10.20517/2347-9264.2019.12

Received: 12 Mar 2019 First Decision: 5 Jun 2019 Revised: 15 Jul 2019 Accepted: 21 Jul 2019 Published: 29 Jul 2019

Science Editor: Hong Ryul Jin Copy Editor: Cai-Hong Wang Production Editor: Tian Zhang

Abstract

We describe the endoscopic-assisted rib harvesting technique for secondary rhinoplasty as minimum - invasive and
safe harvesting method. Endoscopic-assisted rib harvesting was performed on 52 patients for revision rhinoplasty in
last two years (2017-2019). Adequate amount of cartilage was obtained through 1-2 cm incision. The 30 degrees angled
endoscope was used for vision control. Fifty-two patients underwent rhinoplasty with costal cartilage harvested using
endoscopic-assisted method. The length of the harvested cartilage blocks from the rib was 5 ± 1.5 cm in average. There
were no associated intraoperative complications. Postoperative complications were less than by the conventional rib
harvesting technique: in all cases, no signs of pneumothorax or excessive bleeding were detected after surgery. The
wound healed without significant scarring in 50 (96%) cases. Two patients (4%) showed hypertrophic scar formation.
Postoperative pain was evaluated by using Visual Pain Analog Scale retrospectively. Forty-eight patients (92%) scored
1.43 ± 0.7 experienced no significant postoperative pain. Only 4 patients (8%) scored 4.1 ± 0.8 and complained of slight
postoperative pain. This technique provides an effective and less-invasive alternative for conventional costal cartilage
harvesting with reduced complications risk and extended visualization. Patients benefit from an inconspicuous scar
and reduced postoperative pain. Technique can be applied for revision and primary rhinoplasty and allows achieving
reproducible aesthetically and functionally successful results with minimized risks.

Keywords: Rhinoplasty, rib, revision, costal cartilage

© The Author(s) 2019. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made.

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