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Rib Calcification

Rib Calcification

Postby syndicate » Tue Dec 19, 2017 4:45 pm

Does anyone have any theory or understanding regarding what age rib calcification occurs, differences between women and men, impact on carving and grafts.
Thanks
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Re: Rib Calcification

Postby syndicate » Mon Jan 08, 2018 12:25 pm

I came across a journal article that answered my question regarding rib calcification and age.

"Dorsal Augmentation Using Autologous Costal Cartilage or Microfat-Infused Soft Tissue Augmentation", by Dean M. Toriumi, MD, in the journal Facial Plastic Surgery by Theime, issue 33, vol 2, 2017.



Middle age patients, over 35, the rib starts to become calcified.
However surgeons have several strategies to overcome calcified rib, such as testing rib cartilage with a needle to see if calcified and the use of the 7th rib tends to be less calcified.
In patients greater than 50 years the outside layer of rib cartilage is used due to it being more flexible

In summary I felt that this article helped answer my questions as to the challenges and solutions regarding aging and calcification of rib cartilage



the public has free access to this journal at any local university
Last edited by syndicate on Mon Jan 08, 2018 3:34 pm, edited 1 time in total.
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Re: Rib Calcification

Postby MissJ521@aol.com » Mon Jan 08, 2018 3:30 pm

Aside from the article citing, calcification would tend to set in about the time arthritis sets in; when cartilage first starts the process of getting a little 'crispy'. Didn't address the first post earlier because I assumed it would be intuitively obvious that the process would start around middle age.
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Re: Rib Calcification

Postby Revisionseeker » Thu Jan 18, 2018 4:18 am

Why research down to this kind of detail? Of course some healthy curiosity is natural and useful, but reading academic articles has limited purpose as you generally can't second guess the technical expertise of a surgeon who has dedicated their life to learning their craft. What you can do as a prospective patient is focus on the surgeon's attitude and photographic results. Reviews are also useful.
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Re: Rib Calcification

Postby dirkster » Mon Feb 12, 2018 5:34 am

Revisionseeker wrote:Why research down to this kind of detail? ...you generally can't second guess the technical expertise of a surgeon who has dedicated their life to learning their craft.


Yes you can, and yes you should. Some of these surgeons have dedicated their life to learning their craft. Others (perhaps the majority) have learned the bare minimum to become "certified", after which time they focus on doing as much volume as possible and maximizing their income. Minimum input, maximum output is their life motto.

Sadly, I have concluded from my own observations that the bar to becoming a "board certified" surgeon is extremely low in the United States. Yes, this flies in the face of conventional wisdom, but it is true. A lot of these people are just plain dumb. They perform surgeries exactly as they were taught simply because it is what they were told to do and it is their golden ticket, and they will continue to do so even if their patients end up disfigured and in constant pain.

You should not try to tell a surgeon how to do his job, because only the bad ones will oblige, but by studying for yourself you will become better able to understand what can happen to your body and to differentiate the few practitioners who actually care about getting things right from the many who simply don't give a s--- and tell themselves they are doing a "pretty good job" as long as they don't kill anyone.
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Re: Rib Calcification

Postby Joey2 » Sun Mar 18, 2018 2:15 pm

Hey Syndicate,

Appreciate you bringing this to our attention. I've tried 2 different college databases and can't get it. On Thieme database they only offer a summary for free. Can you give me a link or anything? I'm having rib rhino probably and want to know what I can about it. Is that all the article said, that you can test for calcification with a needle and the 7th rib is best? Please, if there's anything more elaborate.

Thanks,

Joey
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Re: Rib Calcification

Postby syndicate » Mon Mar 19, 2018 11:11 pm

not to worry Joey
although rib calcification in my understanding is a concern, making the rib more difficult to carve
doctors can test for rib calcification by scans or by inserting a large gauge needle into the rib cartilage to see if calcified and then the doctors use the rib which is not calcified
rib cartilage warps more in the young and less so in older patients
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Re: Rib Calcification

Postby Rhinosucks » Wed Mar 21, 2018 2:58 pm

syndicate wrote:not to worry Joey
although rib calcification in my understanding is a concern, making the rib more difficult to carve
doctors can test for rib calcification by scans or by inserting a large gauge needle into the rib cartilage to see if calcified and then the doctors use the rib which is not calcified
rib cartilage warps more in the young and less so in older patients


I just saw Dr Davis. He was wonderful. told me come back at 20 months. like everyone asked me if I saw Dr Tiroumi or consider him.
told me i need significant reconstruction, that I had a lovely long elegant nose and he said my surgeon must not have spent alot of time.
that I have a saddle nose deformity, severally shortened and deprojected nose, pinched tip, notched nostrils, crooked nose and still have deviated septum
He is worried re outcomes and said he needs to consider operating on me at all. That i need significant reconstruction to get an improved nose, not the same nose.

re RIB he said in older patients it calcifies, i.e. is like concrete. He is concerned with my radiation after cancer and also with my age (48) that it may be too risky. my primary ruined my life and natural face, all for his ego. He knew I liked my nose, he just thought I would like his version better, He gutted me and for the life of me I don"t understand why
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