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Rhinoplasty – Graft Material

Rhinoplasty is a popular surgical procedure, which is used to correct the appearance of an individual’s nose. The intricate nature of the nose can make the procedure quite demanding, which is why rhinoplasty should only be performed by a surgeon who has received specialist training, like an appropriately trained ENT surgeon. Most types of nose surgery, especially augmentation rhinoplasty, require some form of cartilage grafts. Below are a number of sources of graft material commonly used by ENT surgeons during rhinoplasty:

Septal cartilage: This quadrilateral shaped cartilage separates the nostrils on the front of the nose. The septal cartilage is typically the first choice of ENT surgeons for cartilage grafts.

Septal bone: Though not ideal graft material, this portion of the perpendicular plate of the Ethmoid bone, located at the back-top end of the septum, is used in rare circumstances.

Auricular cartilage: Located in the ear, this cartilage is generally used in cases where it is not possible to harvest septal cartilage, such as during revision rhinoplasty or severe nose injury. Some ENT surgeons prefer using auricular cartilage over septal cartilage because it allows for greater comfort while operating inside the nose.

Ear composite graft: These grafts are usually used to correct problems such as soft tissue triangle defects, retracted nostrils and vestibular stenosis. As they are very technically challenging to place, and have a low survival rate, they are used in very rare circumstances.

Post Auricular Fascia: This graft material consists of soft tissue removed from behind the ear. It is generally used in nose surgery performed on patients with thin skin, to camouflage irregularities.

Temporalis Fascia: Another graft material typically used on patients with thin skin, Temporalis Fascia consists of a layer of strong soft tissue that covers the Temporalis Muscle.

Costal Cartilage: In cases where a large amount of cartilage is required, strong cartilage may be harvested from around the middle and lower ribs. Costal cartilage is commonly used during revision rhinoplasty, as well as in nose surgery to build up the bridge or lengthen the tip.

ENT London is one of the leading ENT clinics in London that specialises in rhinoplasty. Over the last 15 years, ENT London has developed an outstanding reputation for performing nose surgery, which has resulted in patients visiting the clinic from all over the UK and Europe to undergo the procedure.

ENT London is one of UK’s leading rhinoplasty clinics, and can be contacted on 0207 580 6970.

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