Development of an Algorithm to Determine Which Costal Cartilage to Harvest.

Autor:	Tiftikcioglu YO; Plastic, Reconstructive and Aesthetic Surgery Department, Ege University Faculty of Medicine, Izmir., Yegin EE; Bioinformatics Department, Istinye University Faculty of Science., Yegin ME; Plastic, Reconstructive and Aesthetic Surgery Department, Istinye University Faculty of Medicine., Topaloglu E; Plastic, Reconstructive and Aesthetic Surgery Department, Ege University Faculty of Medicine, Izmir., Canbolat OC; Plastic, Reconstructive and Aesthetic Surgery Department, Bakirkoy Sadi Konuk Trainşng and Research Hospital, Istanbul., Gur E; Private Clinic., Ceylan N; Department of Radiodiagnostics, Ege University Faculty of Medicine, Izmir, Turkey.
Jazyk:	angličtina
Zdroj:	The Journal of craniofacial surgery [J Craniofac Surg] 2024 Jun 01; Vol. 35 (4), pp. 1134-1137. Date of Electronic Publication: 2024 May 13.
DOI:	10.1097/SCS.0000000000010101
Abstrakt:	Rib graft is a common source of cartilage in rhinoplasty. Donor site choices for this resource were identified according to the authors who presented the introduction of this technique. However, the scientific basis of this valuable method lacks information, including the anatomical properties of costal cartilage. In this study, cartilage radioanatomy is examined and tested for if any estimators are present. A total of 148 thoracal CT scans of patients who applied to our facility were analyzed. Patients were divided per their sex and age of 35, and rib cartilage dimensions, including axial length between the sternal and costal ends of the cartilage (TotL), posteroanterior diameters at the sternal end (StDia), costal end (CosDia), the thickest part (MaxDia) as diametrical parameters and vertical height at the thickest part (h) were recorded. Length of the sternum (St), the axial length of the clavicle (ClavL), the distance of the sixth rib from the anterior axillary border (AntAx), and thorax circumferences at the level of both pectoralis major muscle origin (ThC) and nipples (BrC) were recorded. Statistical analyses were done for correlations. St, ClavL, ThC, and BrC were found to have the most correlated measurements in groups with the age of 35 and less of both genders, and the relations were lost in older groups. Thorax shape may change after the age of 35 years, but in younger patients, St in females and ClavL in males can be used as estimators of cartilage amount. Competing Interests: The authors report no conflicts of interest. (Copyright © 2024 by Mutaz B. Habal, MD.)
Databáze:	MEDLINE
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