How useful is temporalis fascia in nose operations? Is it possible to rebuild the alar cartilages with this type of material?
Dr. Kavin Andi
Dr. Kavin Andi
Oral and maxillo-facial surgeon
London
It is better to replace like for like. Alar cartilage can therefore be reconstructed by harvesting cartilage from the ear. In more complex nasal cartilage reconstruction i.e. where the vast majority of the cartilage is missing, cartilage can be harvested from the ribs and shaped to suit.

Mr. Hagen Schumacher
Mr. Hagen Schumacher
Plastic surgeon
Huntingdon
Cartilage is rigid and fascia is soft. Therefore cartilage should be used for support, such as for alar cartilages. Fascia could be used to fill up volume, but I think there are better ways to achieve that.

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