Kiran Varadharajan1, Priya Sethukumar1, Mohiemen Anwar1, Kalpesh Patel1. 1. Dr Varadharajan is a Core Surgical Trainee, Department of ENT, West Middlesex University Hospital, London, UK. Dr Sethukumar is a Research Fellow ENT, Dr Anwar is a Specialist Registrar ENT, and Dr Patel is a Consultant ENT, Department of ENT, St. Mary's Hospital, London, UK.
Abstract
BACKGROUND: Autologous costal cartilage grafts are common in rhinoplasty. To date, no formal systematic review of complications associated with autologous costal cartilage grafting in rhinoplasty exists. OBJECTIVES: The authors review current literature to examine the rates of donor and recipient site complications associated with autologous costal cartilage in rhinoplasty. METHODS: Databases (EMBASE, PubMed, MEDLINE, and Cochrane Database of Systematic Reviews) and references of pertinent articles were searched between January 1980 to July 2014 to find studies evaluating rates of complications with autologous costal cartilage grafting in rhinoplasty. These studies were then screened with specific inclusion/exclusion criteria, and data were extracted from included studies and pooled for analysis. RESULTS: A total of 21 eligible studies were included. Pooled donor site complication incidence was pneumothorax (0.1%), pleural tear (0.6%), infection (0.6%), seroma (0.6%), scar-related problems (2.9%), and severe donor site pain (0.2%). Pooled recipient site complications were as follows: warping (5.2%), infection (2.5%), displacement/extrusion (0.6%), graft fracture (0.2%), and graft resorption (0.9%). CONCLUSIONS: Autologous costal rhinoplasty remains a safe procedure, but is associated with not insignificant rates of minor recipient site complications, such as warping. LEVEL OF EVIDENCE: 4 Therapeutic.
BACKGROUND: Autologous costal cartilage grafts are common in rhinoplasty. To date, no formal systematic review of complications associated with autologous costal cartilage grafting in rhinoplasty exists. OBJECTIVES: The authors review current literature to examine the rates of donor and recipient site complications associated with autologous costal cartilage in rhinoplasty. METHODS: Databases (EMBASE, PubMed, MEDLINE, and Cochrane Database of Systematic Reviews) and references of pertinent articles were searched between January 1980 to July 2014 to find studies evaluating rates of complications with autologous costal cartilage grafting in rhinoplasty. These studies were then screened with specific inclusion/exclusion criteria, and data were extracted from included studies and pooled for analysis. RESULTS: A total of 21 eligible studies were included. Pooled donor site complication incidence was pneumothorax (0.1%), pleural tear (0.6%), infection (0.6%), seroma (0.6%), scar-related problems (2.9%), and severe donor site pain (0.2%). Pooled recipient site complications were as follows: warping (5.2%), infection (2.5%), displacement/extrusion (0.6%), graft fracture (0.2%), and graft resorption (0.9%). CONCLUSIONS: Autologous costal rhinoplasty remains a safe procedure, but is associated with not insignificant rates of minor recipient site complications, such as warping. LEVEL OF EVIDENCE: 4 Therapeutic.
Authors: Eva Goldberg-Bockhorn; Silke Schwarz; Rachana Subedi; Alexander Elsässer; Ricarda Riepl; Paul Walther; Ludwig Körber; Roman Breiter; Karl Stock; Nicole Rotter Journal: Lasers Med Sci Date: 2017-12-06 Impact factor: 3.161