A costal cartilage graft is one of the most useful materials in reconstructive plastic surgery. In this article a technique of in situ split costal cartilage graft harvesting through a small incision (2 to 3 cm) using a gouge is described. The technique used has many advantages: it is a simple technique is easy to learn and can be performed quickly through a small incision. By avoiding complete costal cartilage graft harvesting the associated potential complications such as pleural perforation ...

After harvesting the conchal cartilage in a large series of secondary rhinoplasties using the anterior approach there was a marked improvement in the shape of the auricle with unnoticeable scarring hidden under the convolution of the antihelix. In this series of 250 cases there were no hypertrophic scars or keloid formations. Based on these favorable results a new modification of otoplasty was developed using only the anterior approach. Between 1992 and 2000 108 otoplasties were performed on 55 ...