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Arch Plast Surg > Volume 46(3); 2019 > Article
Archives of Plastic Surgery 2019;46(3):282-284.
DOI: https://doi.org/10.5999/aps.2018.01263    Published online May 15, 2019.
Design of a combined cartilage graft crusher, morselizer and holder for use in rhinoplasty
Jonas Röjdmark  , Mubashir Cheema
Department of Plastic Surgery, Akademikliniken Clinic, Stockholm, Sweden
Correspondence:  Jonas Röjdmark, Tel: +46-736420884, Fax: +46-86145420, 
Email: jonas.rojdmark@ak.se
Received: 22 October 2018   • Revised: 31 January 2019   • Accepted: 9 March 2019
Abstract
A combined cartilage holder and crusher is described that allows the surgeon to hold, crush, morselize, and suture a single piece or stack of cartilage graft without letting it slip. The customized slit-shaped jaws allow adequate room for the suture needle, while the serrated surfaces hold the cartilage firmly. The use of this instrument is advocated primarily in rhinoplasty for manipulating and suturing a small cartilage graft or a stack of grafts. The use of this instrument may be extended to aesthetic or reconstructive cases where cartilage grafts need to be sutured or shaped, as in eyelid, ear, and nipple reconstruction.
Keywords: Rhinoplasty / Cartilage graft / Shield graft
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