The Use of Autologous and Cadaveric Grafts in Rhinoplasty: A Survey Study

Starr, Nicole; Porterfield, J Zachary; Harryman, Christopher; Gupta, Nikita

doi:10.1007/s00266-021-02752-z

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…If septal and auricular cartilage may be a valid workhorse in primary or mild secondary rhinoplasty, they are insufficient in most severe cases in which previous surgery over-resected the nasal skeleton (for example, patients with significant deformities needing a nasal dorsum increase beyond 4 mm). It was recently estimated that in 13% of all cases (more often in revision surgery compared to primary), extra nasal cartilage is required [ 15 ]. Furthermore, harvesting septal cartilage graft might not be an option when the patient has undergone septoplasty or there is a post-traumatic or drug abuse-related septal perforation.…”

Section: Discussionmentioning

confidence: 99%

Fresh Frozen Homologous Rib Cartilage: A Narrative Review of a New Trend in Rhinoplasty

Salzano,

Audino,

Dell’Aversana Orabona

et al. 2024

JCM

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Background: Revision rhinoplasty is a technically demanding surgical procedure that can put every surgeon in trouble. The main issue of these cases is often an altered osteocartilaginous framework following over-resection during the first intervention. Moreover, the available septal or auricular cartilage for grafting is usually not enough. This review aims to examine contemporary advances in applications of fresh frozen cartilage in rhinoplasty. Methods: A structured review of the current literature (up to December 2023) was performed on four bibliographic databases: PubMed, EMBASE, Cochrane and Medline. The search terms were combinations of “Rhinoplasty” and “Cartilage Graft”, “Allograft” or “Fresh Frozen Cartilage”. The citations of selected studies and review articles were also evaluated if present. Results: The research resulted in 152 articles, and only ten met the inclusion criteria: nine clinical articles and one in vitro study. One of the ten eligible articles was excluded. Conclusions: Fresh frozen rib cartilage proved to be a viable alternative to autologous rib grafts and irradiated homologous rib graft. Despite the higher costs, FFRG can provide a sufficient amount of tissue for grafting avoiding donor site complications and reducing the operative time and proved to have more chondrocytes and to be less prone to resorption compared to irradiated rib.

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Section: Discussionmentioning

confidence: 99%

Fresh Frozen Homologous Rib Cartilage: A Narrative Review of a New Trend in Rhinoplasty

Salzano,

Audino,

Dell’Aversana Orabona

et al. 2024

JCM

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“…As expected, length of stay was significantly longer for those who underwent rib harvest, and autologous rib was more likely to be used on older patients [20]. Another review by Jenny et al [21 ] reported on 165 cleft rhinoplasties: 58% used irradiated homologous rib cartilage, while the remaining used autologous cartilage, and there were no significant differences in complication rates requiring operative intervention between the two with median length of follow-up of 256 days.…”

Section: Recent Studies Comparing Autologous and Homologous Rib Carti...mentioning

confidence: 99%

An update on rib grafting in rhinoplasty: which rib is right?

Drake

Mowery

Nellis

2022

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

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Purpose of review In revision or posttraumatic rhinoplasty, the quantity and quality of septal cartilage available for grafting is often deficient and auricular cartilage often provides insufficient strength for structural nasal reconstruction. Accordingly, rib cartilage serves as a reliable, abundant source of cartilage for grafting. However, the various sources of rib cartilage carry respective benefits and weaknesses. This review examines recent studies, novel applications and a comparison of the primary sources of rib cartilage, including autologous cartilage, irradiated cadaveric rib and fresh frozen cadaveric cartilage. Recent findings Options for rib cartilage include autologous, irradiated cadaveric rib, and more recently, reports on fresh frozen cadaveric cartilage. Studies continue to conclude that autologous and irradiated donor cartilage carry equivalent results, have similar rates of complication and have a comparable cost profile. Summary Regardless of the source, rib cartilage plays an important role in structural rhinoplasty, especially in revision cases. Although the risks, benefits and long-term results of autologous and radiated homologous cartilage have been evaluated in observational studies, fresh frozen rib cartilage will need further follow up before widespread use, although preliminary literature shows promise.

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