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Agrawal et al. Plast Aesthet Res 2016;3:306-10 Plastic and
DOI: 10.20517/2347-9264.2016.07
Aesthetic Research

www.parjournal.net
Case Report Open Access

Total nasal septal reconstruction using

costal cartilage in difficult cases of

secondary septoplasty

Kapil S. Agrawal, Raghav Shrotriya

Department of Plastic and Reconstructive Surgery, Seth GS Medical College and KEM Hospital, Mumbai 400012, India.
Correspondence to: Dr. Raghav Shrotriya, Department of Plastic and Reconstructive Surgery, Seth GS Medical College and KEM Hospital, Opp
Ward 16, 2nd Floor, Gynec Wing, Mumbai 400012, India. E-mail: dr.raghav.s@gmail.com
How to cite this article: Agrawal KS, Shrotriya R. Total nasal septal reconstruction using costal cartilage in difficult cases of secondary
septoplasty. Plast Aesthet Res 2016;3:306-10.

Dr. Kapil S. Agrawal is Professor of Plastic Surgery at Seth GS Medical College and KEM Hospital, Mumbai
(India). His major interests are in facial aesthetic surgery, particularly rhinoplasty. He has numerous publications on
various techniques related to rhinoplasty, notable amongst them being the Counterbalancing technique to prevent
warping in costal cartilage grafts, Diced cartilage under perichondrial carpet (DCUP) technique for nasal dorsal
augmentation, Text Neck photographic view for nasal dorsal abnormalities in crooked noses, ingenious technique
for alar reduction and auto-fat grafting for post traumatic facial contour deformities.

Dr. Raghav Shrotriya is a senior registrar in Plastic Surgery at Seth GS Medical College and KEM Hospital, Mumbai
(India). His major interests are facial aesthetic surgery as well as reconstructive microsurgery. He has been
associated with the senior author (KSA) in many surgical and literary endeavours and likes to pursue formal and
informal writing while he is not operating, the notable amongst them being an account of his life as resident in the
burn ward.

ABSTRACT
Article history: Rhinoplasty and septal reconstruction often require the use of cartilage grafts. Complete
Received: 02-03-2016 nasal septal reconstruction may be required in very specific situations like difficult secondary
Accepted: 24-08-2016 septoplasty or severely deformed post traumatic noses. Usually in these cases the septal
Published: 20-09-2016 cartilage or bone is insufficient for septal reconstruction. The authors hereby describe a new
technique of complete septal reconstruction by using the 7th rib (costal) cartilage combined
Key words: with author’s ingenious technique to prevent warping.
Rhinoplasty,
nasal septum reconstruction,
costal cartilage graft

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