Niamat Ullah, Muhammad Javaid, Qaisar Khan, Nadar Khan, Naseer Ahmad, Habib-ur-rehman, Fazal-i-wahid, Iftikhar Ahmad Khan.
Outcome of Seventh Costal Cartilage Graft in Augmentation Rhinoplasty.
Pak J Med Health Sci Jan ;6(4):1082-982.

Objective: To assess the outcome of autologous seventh costal cartilage grafts used in augmentation rhinoplasty Patients and Methods: This descriptive study was conducted at the Department of Ear, Nose, Throat, Lady Reading hospital Peshawar from January 2008 to December 2009. These patients were admitted through outpatient department. The data was collected on the basis of history, physical examination, photography, and augmentation of saddle nose deformity with seventh costal cartilage graft. All procedures were carried out under general anesthesia. These patients were followed for two years. Results: Our study included 28 patients constituting 21 males and 07 females, with male to female ratio of 3:1. The age of the patients ranged from 17-50 years. Most of the patients presented in their 3rd decade of life (42.85%). Trauma was the most common cause in 67%. Indication for augmentation in all patients was cosmetic (100%). In all patients seventh costal cartilage graft was used (100%). Overall success rate was 89%. Conclusion: Augmentation rhinoplasty with seventh costal cartilage graft improves the cosmetic appearance of the nose as they are easy to harvest, easy to mould and have low rate of resorption.

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