Precise and rapid costal cartilage graft sectioning using a novel device: clinical application

JAMA Facial Plastic Surgery
Allen FouladBrian J Wong

Abstract

IMPORTANCE The use of costal cartilage as a graft in facial reconstructive surgery requires sectioning the cartilage into a suitable shape. OBJECTIVE To evaluate the accuracy of a novel mechanical device for producing uniform slices of costal cartilage and to illustrate the use of the device during nasal surgery. DESIGN Basic and clinical study using 100 porcine ex vivo costal cartilage slices and 9 operative cases. METHODS This instrument departs from antecedent devices in that it uses compression to secure and stabilize the specimen during sectioning. A total of 75 porcine costal cartilage ribs were clamped with minimal compression just sufficient to secure and stabilize the specimen while cutting. Slices having a length of 4 cm and width of 1 cm were obtained using the cartilage cutter at 3 thicknesses: 1 mm (n = 25), 2 mm (n = 25), and 3 mm (n = 25). The procedure was repeated for the 2-mm thick samples; however, the ribs in this group (n = 25) were clamped using the maximum amount of compression attainable by the device. Thickness was measured using a digital micrometer. Case presentations illustrate the use of the device in secondary and reconstructive rhinoplasty surgery. RESULTS All specimens were highly uniform in thic...Continue Reading

References

Oct 1, 1993·Plastic and Reconstructive Surgery·S HarrisM Spira
Jul 1, 1997·Plastic and Reconstructive Surgery·J P GunterR M Friedman
Jan 18, 2006·Archives of Facial Plastic Surgery·David W KimDean M Toriumi
Jan 17, 2007·Archives of Facial Plastic Surgery·Manuel A LopezDean M Toriumi

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Citations

Jan 1, 2016·JAMA Facial Plastic Surgery·Jessica R GandyBrian J F Wong
Oct 24, 2018·Plastic and Reconstructive Surgery. Global Open·Aret Çerçi Özkan
Oct 4, 2019·Therapeutic Advances in Musculoskeletal Disease·Youshui GaoChangqing Zhang

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