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Cartilage tissues in our body are critical in terms of shape and function. Structural abnormalities that occur in areas that are aesthetically prominent, such as the nose and ears, can result from congenital anomalies, trauma, or previous surgical interventions. In such cases, cartilage reconstruction becomes inevitable for both aesthetic appearance and functionality. One of the most reliable methods in this reconstruction process is the use of costal cartilage grafts.
What is Cartilage Reconstruction?
Cartilage reconstruction is the process of surgically reshaping damaged, missing, or deformed cartilage structures in the body. Organs such as the nose, ears, and larynx contribute not only to aesthetic appearance but also to vital functions such as breathing and hearing.
Why is Cartilage Reconstruction Necessary?
Cartilage structures are highly sensitive. Cartilage reconstruction may be necessary in the following situations:
Congenital anomalies: Conditions such as absence of the ear (microtia) or absence of the nose
Surgical complications: Cartilage loss following failed rhinoplasty or tumor removal
Infections: Tissue loss following severe infection
Cartilage Grafts: What Are They and Why Are They Necessary?
The primary goal of cartilage reconstruction is to rebuild the missing or damaged area. This requires a healthy “graft,” or healthy cartilage tissue that can be surgically transplanted.
The Most Common Sources of Cartilage Grafts:
Septal cartilage (inside the nose)
Auricular cartilage (ear)
Costal cartilage (rib)
While septal and auricular cartilage can be obtained in limited quantities, costal cartilage grafts are preferred in advanced reconstructions due to their larger volume and more resistant structure.
What is a Costal Cartilage Graft?
A costal cartilage graft involves taking cartilage from the patient's own ribs and transferring it to the area to be reconstructed. The 6th or 7th rib cartilage is usually preferred. This method is frequently used in both aesthetic and functional surgeries.
Advantages
A sufficient amount of cartilage can be obtained.
It has a very strong and malleable structure.
It has high biological compatibility with the body.
It has high long-term durability.
In Which Cases is Costal Cartilage Graft Preferred?
Revision rhinoplasty: Especially in patients who have undergone multiple rhinoplasties when the septal cartilage is insufficient
Full-thickness nose reconstruction: Nose loss due to trauma or cancer
Ear reconstruction (microtia surgery): In individuals born without ears
Jaw, larynx, and trachea reconstructions
Facial surgeries requiring tissue support
Surgical Process: How is a Costal Cartilage Graft Obtained?
This procedure, which is performed without damaging the bone, should be carried out by experienced surgeons.
Op. Dr. Gökhan Semerci offers a personalized surgical plan for each patient, taking into account their general health, tissue compatibility, and aesthetic expectations. It offers a safe solution, especially for patients undergoing surgery for the second or third time.
Possible Risks and Recovery Process
As with any surgical intervention, cartilage reconstruction using costal cartilage grafts requires careful planning and experience. Potential complications include:
Pain or loss of sensation in the donor area
Cartilage curvature or displacement
Risk of infection
Rarely, rib deformation
However, when performed using the appropriate technique by an experienced surgeon, these risks are quite low.
The recovery process typically takes 2-4 weeks. Patients are supported with special bandages after surgery, and the process is closely monitored with regular check-ups.
Nasal Reconstruction with Costal Cartilage: Most Common Use
One of the most common needs in aesthetic surgery is revision rhinoplasty, i.e., a second (or more) nose surgery. If the cartilage used in the first operation has been depleted, or if the structure of the nose has weakened to the point where it cannot be supported, costal cartilage acts as a new foundation. Thanks to this graft:
The bridge of the nose is raised again.
Depressed areas are supported.
Symmetry and function are restored.
Ear Reconstruction: Costal Cartilage in the Treatment of Microtia
The patient's own ear is reshaped using costal cartilage to achieve a natural appearance. This procedure requires both technical skill and an artistic approach.
Why is it important to choose a specialist?
Cartilage reconstruction using costal cartilage grafts is not a procedure that every surgeon can easily perform. The correct harvesting of the graft, its aesthetic shaping, and its placement in a manner compatible with the surrounding tissues can only be ensured under the supervision of a plastic surgeon who specializes in this field.
Op. Dr. Gökhan Semerci has achieved successful results in this field with his years of experience and individualized surgical approach. By creating a customized plan for each patient, he aims to meet both aesthetic and functional expectations at the highest level.
Natural, Functional, and Permanent Solutions
Cartilage reconstruction is not just an aesthetic operation. It means replacing a lost structure, restoring integrity, and improving quality of life. In this journey, costal cartilage grafting is one of the most important tools for surgeons.
If you have experienced deformation following a previous surgical intervention, have a congenital cartilage structure issue, or require reconstruction after a serious trauma, you can consult with Dr. Gökhan Semerci to develop a healthy solution plan.
