Facial plast Surg 2013; 29(06): 479-486
DOI: 10.1055/s-0033-1360598
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Subtotal Septal Reconstruction by Using Conchal Graft

Armando Boccieri
Department of Maxillo-Facial Surgery, S. Camillo Hospital, Rome, Italy
Tito M. Marianetti
Department of Maxillo-Facial Surgery, Gemelli Hospital, Rome, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
10 December 2013 (online)


Loss of the cartilaginous nasal septum, a condition frequently encountered in the practice of nasal surgery, can vary in scale depending on its etiopathogenesis. Previous surgery, trauma, and infection can lead to subtotal absence of the septum with severe functional and aesthetic problems. Use of the auricular concha for reconstructive purposes proves an immediate and effective method making it possible to replace the missing tissue without involving operations of a more invasive nature. The fundamental problem in the use of the auricular concha is making this type of cartilage as similar as possible to the cartilaginous septum, endowing it with the structural strength and straightness required for support and the respiratory function. Surgical procedures with the use of figure-eight sutures and grafts of cartilage harvested from the concha prove capable of performing this major task of morphofunctional transformation. The article describes the phases involved in achieving the set objectives.