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Based on anecdotal use, we have found the dermatome blade to be a useful and reliable
tool for slicing and shaping costal cartilage for nasal reconstruction. Using a damp
swab to support the base of the costal cartilage, a dermatome blade is used to slice
the costal cartilage to an appropriate and uniform thickness and shape (Figure 1). We find this a more stable technique than using a scalpel in achieving the desired
contour, in addition to being inexpensive and readily available. This could be applied
to preparation of cartilage graft in any setting. A literature search has only revealed
a limited number of documented descriptions of similar techniques.
