Preoperative considerations, operative preparation, and postoperative care for rib cartilage use in rhinoplasty

Yi, Jong Sook

doi:10.20517/2347-9264.2018.77

Cited by 4 publications

(4 citation statements)

References 15 publications

(43 reference statements)

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“…Our results revealed that during the early postoperative phase, ICNB-based multimodal analgesia provides slight but significant improved pain-relieving than intravenous opioids. Donor site pain is the most common complaint after rib cartilage harvest [ 11 ]. Compared with other thoracic surgeries, pain after rib cartilage harvest is more severe and more centralized on the particular cartilage donor site area.…”

Section: Discussionmentioning

confidence: 99%

Effects of single-injection intercostal nerve block as a component of multimodal analgesia for pediatrics undergoing autologous auricular reconstruction: A double-blinded, prospective, and randomized study

Zheng¹,

Sun

2023

Heliyon

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Section: Discussionmentioning

confidence: 99%

Effects of single-injection intercostal nerve block as a component of multimodal analgesia for pediatrics undergoing autologous auricular reconstruction: A double-blinded, prospective, and randomized study

Zheng¹,

Sun

2023

Heliyon

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“…7,11 However, these complications can be reduced with certain modifications in the technique of costochondral graft harvesting, and, hence, enable plastic surgeons to use rib grafts to provide optimal aesthetic results. 3,6,11,12 The current study was planned to assess using Facial Appearance, Health-related Quality of Life and Adverse Effects questionnaire (FACE-Q) score 13 functional and aesthetic outcomes in patients having undergone dorsal nasal augmentation with costochondral graft in a tertiary care setting.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of dorsal nasal augmentation using costochondral graft

Amna Kifayatullah,

Mamoon Rashid,

Saad Ur Rehman

et al. 2024

J Pak Med Assoc

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Objective: To assess functional and aesthetic outcomes in patients having undergone dorsal nasal augmentation with costochondral graft in a tertiary care setting. Method: The single-centre, retrospective, observational study was conducted at Shifa International Hospital, Islamabad, Pakistan, and comprised data of patients who underwent dorsal nasal augmentation using costochondral graft between January 1, 2018, and December 31, 2022. Aesthetic outcomes in terms of patient satisfaction were assessed using Facial Appearance, Health-related Quality of Life and Adverse Effects scores. Data was analysed using SPSS 26. Results: Of the 46 patients, 28(61%) were males and 18(39%) were females. The overall mean age was 28.39+9.13 years. Dorsal nasal deficiency occurred secondary to congenital causes in 12(26.1%) patients, trauma 19(41.3%) and prior surgery 15(32.6%). Postoperative complication rate was 7(15%); 3(6.5%) had recipient site infection and 2(4.3%) had rib graft resorption. Besides, 1(2.2%) patient reported pain 2 months postoperatively and 1(2.2%) had hypertrophic scarring. Patient satisfaction with the outcome was noted in all the 10 parameters analysed. Most commonly reported problem was that the nose was ‘looking thick/swollen’ by 12(26.1%) patients, but the issue resolved during 1-year follow-up. Conclusion: Costochondral graft was found to be an ideal material for dorsal nasal augmentation, with high patient satisfaction rate. Key Words: Costal cartilage, Patient satisfaction, Rhinoplasty.

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“…7 Finally, rib cartilage is one of the most common sources of autologous grafts due to its abundance and mechanical strength allowing surgeons to harvest from a single donor with fewer complications. 29 However, rib CPCs have barely been studied. Cartilage tissues from different sites have different characteristics as shown in Figure 1, where histological and immunohistochemical staining of pediatric ear, nose, rib, and joint (digit) cartilage are compared to highlight the differences between matrix composition, structure, cell density and cell organization.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Human cartilage progenitor cells from ear, nose, rib, and joint have a robust, stable phenotype for cartilage repair

Ghavimi

Gehret

Giordano

et al. 2022

Preprint

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Background: Cartilage progenitor cells (CPCs) are a small but highly proliferative cell population that resides within cartilage. Joint cartilage CPCs have a high chondrogenic potential and superior cartilage formation characteristics; however, CPCs from other cartilage sources more accessible for translation such as ear, nose, and rib are broadly unexplored. Our study illuminates the differences between CPCs from these four cartilages, their corresponding tissue chondrocyte (CC), and bone marrow-derived mesenchymal stem cell (MSC). Methods: CPCs subtypes were isolated from pediatric cartilage via fibronectin selection, immunophenotyped by flow cytometry and compared to MSCs. Trilineage differentiation capacity was assessed via histology and qRT-PCR. Next, triiodothyronine was used to hypertrophically challenge each CPC subset and their corresponding chondrocyte population. After 28 days cartilage pellets were assessed via histology, immunohistochemistry, and qRT-PCR. Findings: Each CPC subset possessed a specific immunophenotypic signature with CD56 as a potential common marker. All CPC subsets proliferated 2-fold faster than MSCs and 4-fold faster than CCs. Additionally, CPCs had a substantially reduced propensity for osteogenic differentiation and very limited adipogenic capacity by histology and gene expression. Finally, all CPC subsets resisted the hypertrophic challenge more than the corresponding chondrocyte population marked by less collagen X secretion and downregulation of hypertrophy associated genes. Interpretation: CPCs represent a promising cell type for cartilage regeneration. The ease of accessibility of the ear and nose CPCs present opportunities for new translational approaches and reduced clinical timelines.

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Preoperative considerations, operative preparation, and postoperative care for rib cartilage use in rhinoplasty

Abstract: How to cite this article: Yi JS. Preoperative considerations, operative preparation, and postoperative carefor rib cartilage use in rhinoplasty.

Cited by 4 publications

References 15 publications

Effects of single-injection intercostal nerve block as a component of multimodal analgesia for pediatrics undergoing autologous auricular reconstruction: A double-blinded, prospective, and randomized study

Effects of single-injection intercostal nerve block as a component of multimodal analgesia for pediatrics undergoing autologous auricular reconstruction: A double-blinded, prospective, and randomized study

Outcomes of dorsal nasal augmentation using costochondral graft

Human cartilage progenitor cells from ear, nose, rib, and joint have a robust, stable phenotype for cartilage repair

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