Ossification of costal cartilages is one of many changes reflecting their ageing. It is found only in a limited percentage of population and used to begin at various ages. Shape of these ossification changes is different in men and women. Due to heterogeneity of data in literature and scarce amount of information, we decided to evaluate the occurrence of costal cartilage ossifications in a sample of Czech population. Use of roentgenograms of ossification focuses was based on their contrast in x-rays. We have studied altogether 1044 X-rays archived by Department of Radiology at the Teaching Hospital in Hradec Kráov'e. This set comprised roentgenograms of both men and women in age range from 10 to 95 years. Ossification changes of costal cartilages were described on 18 roentgenograms from dissection material as well. These rtg pictures were taken from chest plates and costal cartilages which were obtained from Department of Anatomy and Department of Forensic Medicine at Faculty of Medicine in Hradec Králové. In this sample of Czech population we confirmed an occurrence of sexual dimorphism of ossified costal cartilages. Statistical evaluation revealed that beginning of these changes depends on the age and sex.
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Int J Pediatr Otorhinolaryngol
January 2025
Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China. Electronic address:
Objective: This study aims to compare the postoperative thoracic deformity and scar aesthetic outcomes of auricular reconstruction between the conventional large-incision technique and small-incision technique with perichondrium preservation for costal cartilage harvesting.
Methods: A retrospective analysis was performed on 134 patients who underwent auricular reconstruction using tissue expanders and autologous costal cartilage harvested from the right chest wall between January 2021 and September 2023. Patients were divided into two groups according to the harvesting technique: the traditional large-incision group (n = 64) and the small-incision group with perichondrium preservation (n = 70).
Head Face Med
January 2025
College of Dentistry, Department of Oral & Maxillofacial Surgery, Gangneung-Wonju National University, Gangneung, South Korea.
Background: This study aims to compare the complications and satisfaction associated with favorable allografts, Fresh Frozen Rib Graft (FFRG) and Irradiated Homologous Costal Cartilage (IHCC), in revision rhinoplasty.
Methods: The PRISMA guidelines were adhered to in the conduct of this systematic review. No limitations were applied to the types of studies included.
Facial Plast Surg
January 2025
Department of Rhinology and Facial Plastic Surgery, Royal National ENT and Eastman Dental Hospitals, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Optimal results in complex nasal reconstruction, particularly in the context of post-traumatic and revision septorhinoplasty, often require the use of cartilage grafts to provide additional structural support to the nose. While autologous costal cartilage (ACC) has been traditionally used, this can be limited by donor site morbidity, increased operative time, and in some cases, lack of suitable cartilage for grafting. There has been a trend towards using irradiated homologous costal cartilage (IHCC) as an alternative source of graft material.
View Article and Find Full Text PDFJ Craniofac Surg
November 2024
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Background: The septum is often underdeveloped in East Asian populations, and traditional endogenous extension stents may not adequately fulfill the requirements for rhinoplasty. Herein, we present an innovative exogenous extension framework featuring a mortise and tenon structure specifically designed for East Asians.
Methods: This framework comprises a mushroom-shaped rib cartilage component and a lancet-shaped expanded polytetrafluoroethylene (ePTFE) element, which are interconnected through a mortise and tenon design.
Cureus
December 2024
Otolaryngology - Head and Neck Surgery, Ondokuz Mayıs University Faculty of Medicine, Samsun, TUR.
Cervical subcutaneous emphysema and pneumomediastinum without pneumothorax are exceedingly rare complications following rhinoplasty, with limited cases reported in the literature. This report presents a case of revision septorhinoplasty using autologous costal cartilage, where the patient complained of a sore throat 36 hours postoperatively. On physical examination, cervical subcutaneous emphysema was palpated, and radiologic evaluation confirmed both cervical subcutaneous emphysema and pneumomediastinum.
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