Cited by 451Nasal Surgery and Airway StudiesReconstructive Facial Surgery TechniquesReconstructive Surgery and Microvascular Techniques

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The distortion of autogenous cartilage grafts: Its cause and prevention.

Gibson, Thomas, Davis, W. Brian·1957·British Journal of Plastic Surgery

DOI 10.1016/s0007-1226(57)80042-3

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PLASTIC SURGERY OF THE FACE
Gillies, H., & Pilcher., L. S. (1920) · The American Journal of the Medical Sciences · doi:10.1097/00000441-192102000-00029 · Cited by 343
DICED CARTILAGE GRAFTS: NEW METHOD FOR REPAIR OF SKULL DEFECTS, MASTOID FISTULA AND OTHER DEFORMITIES
PEER, L. A. (1943) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1943.00670040167008 · Cited by 83
Bone and cartilage transplants their use and behaviour
Mowlem, R. (1941) · British journal of surgery · doi:10.1002/bjs.18002911404 · Cited by 73
The fate of preserved bovine cartilage implants in man
GIBSON, T. E., & Davis, W. B. (1953) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(53)80003-2 · Cited by 57
Absorption of autogenous cartilage grafts in man
Davis, W. B., & GIBSON, T. E. (1956) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(56)80032-5 · Cited by 39
THE USE OF PRESERVED BOVINE CARTILAGE IN PLASTIC SURGERY
North, J. (1953) · Plastic & Reconstructive Surgery · doi:10.1097/00006534-195304000-00004 · Cited by 24
Some further observations on the use of preserved animal cartilage
GIBSON, T. E., & Davis, W. B. (1955) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(55)80018-5 · Cited by 20
A method to prevent fresh costal cartilage grafts from warping
New, G. B., & ERICH, J. B. (1941) · The American Journal of Surgery · doi:10.1016/s0002-9610(41)90395-1 · Cited by 19

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Items 301–400 of 451

Literature scans: cartilage grafts in nasal tip rhinoplasty
Gentile, P., Storti, G., Angelis, B. D., Albano, A., & Cervelli, V. (2019) · European Journal of Plastic Surgery · doi:10.1007/s00238-019-01518-w · Cited by 2
“It can be avoided, most of the times, by carving the cartilage equally on both the external sides, along the longitudinal axis, and using only the central core [23].”
Autologous Ear Reconstruction
Cugno, S., & Bulstrode, N. (2019) · Springer eBooks · doi:10.1007/978-3-030-16387-7_5 · Cited by 2
Implantation problems in nasal surgery
Gubisch, W. (1988) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/bf03023400 · Cited by 2
The diagnostic accuracy of hand-held ultrasonography in evaluation of costal cartilage calcification for grafting in rhinoplasty: A cadaveric study
Rujira-arporn, T., Sriswadpong, P., & Jirawatnotai, S. (2022) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2022.04.065 · Cited by 2
Current Trends in Otoplasty
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Otoplasty
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Comparative study between Mustarde and Stenström techniques in treatment of prominent ear
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Curving effect of scarification or unilateral perichondrial lining on septal cartilage from human autopsy material
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Strahlenkonservierung von Bankknorpel mit Kobalt-60
Hellmich, S. (1972) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/bf02413281 · Cited by 2
The tile graft: A method of building the roof of the nose using preserved homograft septal cartilage
Planas, J. (1987) · European Journal of Plastic Surgery · doi:10.1007/bf00452768 · Cited by 2
“In 1958 Gibson and Davis [ 6 ] demonstrated that the late distortion that occurs frequently in carved costal cartilage is due to specific forces "locked" within the cartilaginous substance.”
BackgroundInfluential
Experimentelle Ergebnisse und klinische Anwendung von lyophilisierten Knorpel- und Knochentransplantaten im Kiefer-Gesichtsbereich
Sailer, H. F. (1982) · Springer eBooks · doi:10.1007/978-3-662-09376-4_3 · Cited by 2
Abstehende Ohren und ihre Korrektur
Koch, A. (1992) · Springer eBooks · doi:10.1007/978-3-642-77396-9_1 · Cited by 2
Grafts Frequently Used During Orthognathic Surgery and for Adjunctive Procedures
Posnick, J. C. (2013) · Elsevier eBooks · doi:10.1016/b978-1-4557-2698-1.00018-6 · Cited by 1
Comprehensive Evaluation and Treatment Modalities of Crooked Nose
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Ribs with Anterior Protrusion (Winged Ribs) Treated Using Percutaneous Chondroplasty
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“The functionality of this procedure is based on the internalization of cartilage, as proposed by Gibson and Davis, 8 where the cartilage possesses a memory due to fibroelastic forces that confer stability.”
Method
Needle Scoring in Otoplasty: A Basic Technique for Improving Aesthetic Outcomes
Klinger, M. E. A., Giuli, R. D., Cardone, F., Capuano, S., Vaccari, S., Klinger, F. M., & Vinci, V. (2025) · Aesthetic Plastic Surgery · doi:10.1007/s00266-024-04653-3 · Cited by 1
“Needle scoring, based on observations by Gibson and Davis [14] and conﬁrmed by Fry [15], utilizes a needle to modify the shape of the cartilage or loosen tissue retraction at the subcutaneous level.”
Otoplasty
Doğan, R., Erdem, T., & Özturan, O. (2024) · Comprehensive ENT · doi:10.1007/978-3-031-76173-7_13 · Cited by 1
Injerto de cartílago costal en rinoplastia postraumática para corrección de deformidad en silla de montar. Experiencia en centro de trauma de tercer nivel
PROCIKIEVIEZ, O., PROCIKIEVIEZ, I. Ó., OHANIAN, A., & CRESPO, M. (2024) · Cirugía Plástica Ibero-Latinoamericana · doi:10.4321/s0376-78922024000100014 · Cited by 1
Surgical techniques for caudal septal deviations
Latif, J., Ho, E., & Meller, C. (2026) · Current Opinion in Otolaryngology & Head & Neck Surgery · doi:10.1097/moo.0000000000001130 · Cited by 1
Invited Commentary on: “Fresh-Frozen Costal Cartilage in Rhinoplasty: A Six-Year Experience of Consecutive Cases,” by Lu et al.
Toriumi, D. M. (2026) · Facial Plastic Surgery & Aesthetic Medicine · doi:10.1177/26893614261451696 · Cited by 1
“11 This method of carving rib does not allow for leaving the attached native perichondrium.”
History of Otoplasty: Review of Literature
Shiffman, M. A. (2013) · Springer eBooks · doi:10.1007/978-3-642-35431-1_5 · Cited by 1
Costal Cartilage Grafting for Dorsal Augmentation
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Implants and Fillers for Facial Plastic Surgery
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13 Congenital Malformations of the Ear
(2012) · Thieme eBooks · doi:10.1055/b-0034-84978 · Cited by 1
Secondary Rhinoplasty via the External Approach
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Correcting Concavity of Rabbit Auricular Cartilage: Comparison of Single Scoring Incisions with Butyl Cyanoacrylate–Aided Techniques
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Introduction to Augmentation Rhinoplasty
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Prominent Ears
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Minimally Invasive Otoplasty: Technical Details and Long-Term Results
de la Fuente, A., & Sordo-Miralles, G. (2013) · Springer eBooks · doi:10.1007/978-3-642-35431-1_12 · Cited by 1
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Aesthetic and reconstructive dorsal augmentation
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Rasping First Technique in Otoplasty
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Septal L-Strut Extension Graft (SLEG) Using Laminated Rib: Salvaging the High Septum
Dhong, E. (2025) · Springer eBooks · doi:10.1007/978-981-96-6127-5_12 · Cited by 1
Sutureless Otoplasty: Anterior Scoring of the Antihelical Fold
Bhatti, A. Z., & Ijaz, M. (2013) · Springer eBooks · doi:10.1007/978-3-642-35431-1_25 · Cited by 1
“The fi rst time this concept was introduced was by Gibson and Davis in 1958 [ 1 ] based on the principle that the injured cartilage tends to fold away from the injured site.”
Background
Treatment of Prominent Ear Anomalies
Xue, A. S., Lee, E. I., Izaddoost, S. A., & Stal, S. (2013) · Springer eBooks · doi:10.1007/978-3-642-35431-1_13 · Cited by 1
Otoplasty with Mustarde Suture Cartilage Scratching and Rasping
Sevin, K., & Sevin, A. (2013) · Springer eBooks · doi:10.1007/978-3-642-35431-1_15 · Cited by 1
“Scoring techniques are mainly based on the studies of Gibson and Davis [ 17 ] that the cartilage tends to warp away from an injured surface.”
Method
Anterior scoring approach for prominent ear anomaly: a modified Chongchet technique.
Hafezi, F., Naghibzadeh, B., Nouhi, A. H., & Naghibzadeh, G. (2013) · PubMed · Cited by 1
Collagen Microarchitecture of the Human Septum Cartilage
Yazıcı, İ., Yavuzer, R., Elmas, Ç., Gözil, R., Erdoğan, D., & Atabay, K. (2013) · Journal of Craniofacial Surgery · doi:10.1097/scs.0b013e31827c826a · Cited by 1
“Gibson, Davies, and Fry have worked on the nasal septum in order to show physical anatomy and response to certain surgical manipulations.(3,4) Fry has presented the interlocked stress principle.”
Background
Craniofacial Cartilage Tissue Engineering
Watson, D. J., Watson, J. B., Sah, R. L., & Briggs, K. K. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-397157-9.00045-x · Cited by 1
Nasal Reconstruction with Carved Costal Cartilage Grafts
Richardson, D., Laycock, R., Laraway, D. C., & Swift, A. (2018) · International Journal of Head and Neck Surgery · doi:10.5005/jp-journals-10001-1330 · Cited by 1
Nasal Reconstruction
Hsiao, Y., & Yen, C. (2018) · Head and neck cancer clinics · doi:10.1007/978-981-13-2444-4_9 · Cited by 1
Ear Reconstruction
Hanson, S. E., Mahajan, A. Y., & Bentz, M. L. (2009) · Elsevier eBooks · doi:10.1016/b978-0-7020-2926-4.50010-2 · Cited by 1
Problems In Cleft Lip Nose Patients Undergoing Augmentation Rhinoplasty With Rib Graft : A Case Report
Kusumastuti, N., & Sudjatmiko, G. (2019) · Jurnal Plastik Rekonstruksi · doi:10.14228/jpr.v1i2.46 · Cited by 1
Effect of osmolarity on shape retention following laser-mediated cartilage reshaping
Karamzadeh, A. M., Gray, D. S., Kimball, J. A., & Wong, B. J. F. (2001) · Proceedings of SPIE, the International Society for Optical Engineering/Proceedings of SPIE · doi:10.1117/12.434704 · Cited by 1
Stress relaxation of porcine septal cartilage during radio-frequency-generated heating
Keefe, M. W., Wong, B., & Crumley, R. (2000) · Biomedical optics · doi:10.1117/12.386263 · Cited by 2
Implantation problems in nasal surgery
Gubisch, W., Reichert, H., & Greulich, M. (1989) · European Journal of Plastic Surgery · doi:10.1007/bf02892637 · Cited by 1
Control of grafted rib cartilage warping
Nakamura, A. (1995) · European Journal of Plastic Surgery · doi:10.1007/bf00207568 · Cited by 1
“cartilage graft, as viewed in cross-section, the graft will not warp [4].”
Background
Aesthetic structural nasal augmentation
Wang, T. D. (1990) · Operative Techniques in Otolaryngology-Head and Neck Surgery · doi:10.1016/s1043-1810(10)80063-6 · Cited by 1
Tissue Engineering: Growth and Transplantation of Neocartilage in an Experimental Model
Puelacher, W. C., & Grubwieser, G. (2002) · European surgery. Supplement/European surgery · doi:10.1046/j.1563-2563.2002.02048.x · Cited by 1
“The limiting factors for autologous cartilage transplantation include the availability of donor tissue, patient morbidity, change in the sculpted shape of the transplant by intrinsic bending, resorption, calcification, and creeping substitution by soft tissues ( 4 , 20).”
Background
Aesthetic otoplasty: A new technique
Milojevic, B. (1981) · Aesthetic Plastic Surgery · doi:10.1007/bf01981705 · Cited by 1
“Gibson and Davis [8] were the first to point out that the rib cartilage bends because "the matrix tends to expand while the outer stretched layer contracts.”
Die Verwendung autoplastischen Knorpels in der Wiederherstellungschirurgie des Gesichts
Schmid, E., & Widmaier, W. (1962) · Langenbeck s Archives of Surgery · doi:10.1007/bf01440556 · Cited by 1
Anatomische Bedingungen zur Erzielung einer guten Einheilung und dauernden Erhaltung der Autotransplantate
Krmpotić, J. (1962) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/bf02121486 · Cited by 1
NASAL TRAUMA: 2. THE MANAGEMENT OF ESTABLISHED POST‐TRAUMATIC DEFORMITIES
Fry, H. J. H. (1967) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1967.tb21318.x · Cited by 1
Facial Contouring After Trauma
Cassisi, N. J., & Grenier, M. P. (1983) · Otolaryngologic Clinics of North America · doi:10.1016/s0030-6665(20)32054-5 · Cited by 1
History of the Aesthetic Surgery of the Ear
Davis, J., & Hernandez, H. H. (1978) · Springer eBooks · doi:10.1007/978-1-4757-4319-7_5 · Cited by 1
Zur Korrektur der Sattelnase mit Knorpeltransplantaten (Spätergebnisse)
Roscić, Z., Fries, R., & Platz, H. (1985) · Springer eBooks · doi:10.1007/978-3-662-06634-8_25 · Cited by 1
Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review
Kaleeny, J. D., & Janis, J. E. (2026) · Plastic and Reconstructive Surgery - Global Open · doi:10.1097/gox.0000000000007404
The Deviated Nose and the Nasal Airway
Maran, A. G. D. (1979) · Journal of the Royal Society of Medicine · doi:10.1177/014107687907201112
Evaluation of subcutaneous cartilage autografts — an experimental study
Anand, V. K., & Rajan, R. (1991) · Indian Journal of Otolaryngology and Head & Neck Surgery · doi:10.1007/bf02992546
Combined Technique in Otoplasty
Salgarello, M. (2011) · Springer eBooks · doi:10.1007/978-3-642-17838-2_54
Die Konturstabilität nach Otapostasiskorrektur durch anteriore Ritztechnik
Yildirim, Y., Fischer, H., & Gubisch, W. (2007) · HNO · doi:10.1007/s00106-006-1508-2
The Decision Process in Choosing Costal Cartilage During Rhinoplasty
DeFatta, R. J. (2013) · Springer eBooks · doi:10.1007/978-3-642-28053-5_73
Anterior Scoring Technique in Otoplasty
Caouette‐Laberge, L., & Bortoluzzi, P. A. (2013) · Springer eBooks · doi:10.1007/978-3-642-35431-1_27
İNSAN SEPTUM KIKIRDAĞININ KOLLAJEN MİKROANATOMİSİ
Yazıcı, İ., Yavuzer, R., Gözil, R., Erdoğan, D., & Atabay, K. (2008) · DergiPark (Istanbul University)
Secondary Rhinoplasty: Decision Making
Daniel, R. K. (2010) · Springer eBooks · doi:10.1007/978-3-642-01402-4_11
The sequential septo‐rhinoplasty
Smithdeal, C. D. (1975) · The Laryngoscope · doi:10.1288/00005537-197507000-00014
Safe and versatile variation of the surgical technique for treating the underdeveloped antihelix in otoplasty
Filho, A. C. S. M., Ely, P. B., Jaeger, M. R. D. O., Pires, J. A., & Rech, D. L. (2013) · Indian Journal of Plastic Surgery · doi:10.4103/0970-0358.122031
Otoplasty and Earlobe Repair
Archibald, D. J., & Farrior, E. H. (2013) · Springer eBooks · doi:10.1007/978-3-642-35431-1_18
The Use of Metatarsal Bone Grafts in the Treatment of Saddle Nose Deformities
Emsen, İ. M. (2009) · Aesthetic Plastic Surgery · doi:10.1007/s00266-009-9393-1
Retracted
Rhinoplasty using fibrin glue
Vedung, S., & Ohls�n, L. (1991) · European Journal of Plastic Surgery · doi:10.1007/bf00209802
“The costal cartilage, most often trimmed to an Lshaped graft, was carved according to the principle of balanced cross-section to avoid warping [12].”
Avaliação rinométrica da técnica de rinoplastia com preservação do dorso cartilaginoso
Passos, A. P. (2009) · doi:10.11606/t.5.2009.tde-27082009-160045
Resection of the Auricularis Posterior Muscle and Adjacent Soft Tissue for the Correction of Prominent Ears
Silberstein, E., Pagkalos, V. A., Krieger, Y., & Bogdanov‐Berezovsky, A. (2014)
Tratamiento de la oreja prominente con incisiones mínimas, sin resección de piel ni de cartílago
Chávez, I. E., Viera-Núñez, M. E., López, R. C. P., Diego, C. G., Castro, M. A. P., Galindo, O. A. G., Cervantes, D. H., & Castañeda, R. (2010)
Cartilage Folding Technique in Otoplasty
Isac, C., & Isac, A. (2013) · Springer eBooks · doi:10.1007/978-3-642-35431-1_32
“preserve the perichondrium on the posterior surface of the cartilage which will determine the cartilage to bend toward the side with the intact perichondrium when it is incised on one side only, according to Gibson and Davis’ principle [ 34 ] .”
Method
‘Foamotomy’ as an aid for skin graft conformity
Bagirathan, S., Tamimy, M. S., Cairns, S., & O’Boyle, C. (2015) · Annals of The Royal College of Surgeons of England · doi:10.1308/rcsann.2016.0011
Physiology and Pathophysiology of the Growing Nasal Skeleton
Verwoerd-Verhoef, H. L., van Osch, G. J. V. M., & Verwoerd, C. D. A. (2013) · Springer eBooks · doi:10.1007/978-3-642-37250-6_35
A New and Practical Instrument for Antihelix Scoring: Gillies Skin Hook
Özkaya, Ö., Bingöl, D., Egemen, O., Akan, M., & Tasasız, K. (2016) · Turkish Journal of Plastic Surgery / Türk Plastik Rekonstrüktif ve Estetik Cerrahi Dergisi · doi:10.5152/turkjplastsurg.2016.1970
Multilayer costal grafts to prevent cartilage deformation: an experimental study
Ravasio, G., Gazzola, R., Cottone, G., Lanfranchi, L. A., & Preis, F. W. B. (2016) · European Journal of Plastic Surgery · doi:10.1007/s00238-016-1224-4
“However, literature reported the high risk of postoperative bending of these grafts [3, 8, 10, 12], and several techniques have been purposed over time to avoid this complication.”
Background
Rib Grafting Simplified
Brenner, K., & Calvert, J. W. (2011) · Elsevier eBooks · doi:10.1016/b978-1-4160-6262-2.00015-2
Biomechanical Aspects of Plastic Surgery
Gibson, T. (1979) · Springer eBooks · doi:10.1007/978-94-009-9562-8_4
Management of Secondary Jaw Deformities after Maxillofacial Trauma
Posnick, J. C. (2013) · Elsevier eBooks · doi:10.1016/b978-1-4557-2698-1.00035-6
Geschichte der Ohrmuschelkorrektur
Lehmann, J. (2016) · Springer eBooks · doi:10.1007/978-3-662-50453-6_1
Ear Reconstruction and Pinaplasty
Quereshy, F. A., & Burton, B. (2017) · Elsevier eBooks · doi:10.1016/b978-0-7020-6056-4.00084-8
Anterior Scoring of the Upper Helical Cartilage as a Refinement of the Chong-Chet Technique in Otoplasty
Rubino, C., Farace, F., & Faenza, M. (2013) · Springer eBooks · doi:10.1007/978-3-642-35431-1_26
Role of Autologous Costal Cartilage Grafts in Otolaryngology Practice: A Surgical Review
Mohanty, S., & Manimaran, V. (2017) · International Journal of Head and Neck Surgery · doi:10.5005/jp-journals-10001-1313
“Childs Nerv Syst 2008 Aug;24(8): 927-932.”
Comparative study between anterior and posterior scoring in otoplasty for bat ear
Abdelazim, M. H., & fawzy, I. (2018) · Egyptian Journal of Ear Nose Throat and Allied Sciences · doi:10.21608/ejentas.2018.3486.1011
“As a starting point of incision-scoring techniques, it was shown that cartilage incised on one side carry the ability to warp to the opposite side[15].”
Aesthetic Alteration of the Nose
Posnick, J. C. (2013) · Elsevier eBooks · doi:10.1016/b978-1-4557-2698-1.00038-1
Treatment of the Prominent Ear: A Standardized Approach Without Intraoperative Measurements
MacIsaac, Z. M., Zammerilla, L. L., & Grunwaldt, L. J. (2018) · Journal of Craniofacial Surgery · doi:10.1097/scs.0000000000004868
Versorgung von Defekten im Gesichts-Hals-Bereich mit gestielten Lappen und freien Transplantaten
Haas, E. M. (1962) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/bf02121485
Experimental study on maintaining the curvature of transplanted cartilage: Influence of the number of cartilage struts
Sakamoto, A., Rikimaru, H., Rikimaru‐Nishi, Y., Watanabe, K., Hashiguchi, S., Kanazawa, T., Nakamura, K., & Kiyokawa, K. (2019) · Journal of Plastic Reconstructive & Aesthetic Surgery · doi:10.1016/j.bjps.2019.03.039
The Role of Anterior Subperichondrial Rasping in Antihelixoplasty of Prominent Ears
Hafiz, A., & Sami, A. (2019) · The Egyptian Journal of Plastic and Reconstructive Surgery · doi:10.21608/ejprs.2019.65087
Grafting Techniques in Nasal Tip Rhinoplasty
Balaji, N. (2020) · Springer eBooks · doi:10.1007/978-3-030-48157-5_9
Surgical Treatment of Atrophic Rhinitis: Use of Autologous Costal Cartilage Grafts
Apaydın, F. (2020) · Springer eBooks · doi:10.1007/978-3-030-51705-2_15
Otoplasty with Combined and Cartilage Sparing Techniques
Zayakova, Y. (2013) · International Bulletin of Otorhinolaryngology · doi:10.14748/orl.v9i1.6941
Saddle Nasal Deformity and Reconstruction
Özdoğan, F., Özel, H. E., & Genç, S. (2020) · Kocaeli Medical Journal · doi:10.5505/ktd.2020.11043
복부 켈로이드를 이용한 융비술 1예
박찬흠, 홍성주, 이준호, & 장기현 (2006)

Authors: Gibson, T., & Davis, W. B.
Affiliations: Glasgow Royal Infirmary (GB)
Glasgow Victoria Infirmary (GB)
Venue: British Journal of Plastic Surgery
Publisher: Elsevier BV
Published: 1957
Volume: 10
Pages: 257-274
ISSN: 0007-1226 (ISSN-L)
DOI: 10.1016/s0007-1226(57)80042-3
OpenAlex: W2089415915
Cited by: 451
References: 8
Citations by year: 2026: 14 · 2025: 13 · 2024: 10 · 2023: 7 · 2022: 9 · 2021: 9 · 2020: 17 · 2019: 14 · 2018: 13 · 2017: 15 · 2016: 13 · 2015: 6 · 2014: 11 · 2013: 39 · 2012: 10
FWCI: 1.50
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: British Journal of Plastic Surgery (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
Health Sciences › Medicine › Surgery › Reconstructive Surgery and Microvascular Techniques
Keywords: autogenous cartilage graft, costal cartilage, balanced cross-sections, graft stability

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The distortion of autogenous cartilage grafts: Its cause and prevention.

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