fig15

Figure 15. Pre- and 10-month Postoperative images are shown here for a patient undergoing a major reconstructive revision in the setting of Granulomatosis with polyangiitis. She had a prior cadaveric rib onlay graft and alar batten grafts in place that were removed. Autologous rib was used to create bilateral extended spreader grafts, which were articulated to an anterior septal reconstruction graft. Dorsal augmentation was done with diced rib-fibrin glue.