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Related Experiment Video

Updated: Feb 12, 2026

Fabrication of Decellularized Cartilage-derived Matrix Scaffolds

Fabrication of Decellularized Cartilage-derived Matrix Scaffolds

Published on: January 7, 2019

The Cartilage Warp Prevention Suture.

Bahman Guyuron¹, Derek Z Wang², David E Kurlander³

¹Case Western Reserve University Plastic Surgery, 29017 Cedar Road, Cleveland, Lyndhurst, OH, 44124, USA. bahman.guyuron@gmail.com.

Aesthetic Plastic Surgery

|March 24, 2018

Summary

A novel warp control suture effectively prevents coastal cartilage warping in rhinoplasty. This technique ensures straighter grafts and improved surgical outcomes for patients undergoing nasal reconstruction.

Keywords:

Costal cartilage graft Graft warping Rhinoplasty Warp control suture

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Last Updated: Feb 12, 2026

Fabrication of Decellularized Cartilage-derived Matrix Scaffolds

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Published on: January 7, 2019

Development and Evaluation of a Rat Model of Full-Thickness Cartilage Defects

Development and Evaluation of a Rat Model of Full-Thickness Cartilage Defects

Published on: May 19, 2023

Synthesis of Decellularized Cartilage Extracellular Matrix Hydrogels

Synthesis of Decellularized Cartilage Extracellular Matrix Hydrogels

Published on: July 21, 2023

Area of Science:

Plastic Surgery
Otolaryngology
Biomaterials Science

Background:

Coastal cartilage graft warping is a significant challenge in rhinoplasty, potentially compromising surgical results.
Existing methods for managing cartilage warp are often insufficient, leading to unpredictable outcomes.

Purpose of the Study:

To introduce and evaluate a novel "warp control suture" technique for eliminating and preventing coastal cartilage graft warping.
To assess the clinical efficacy and safety of the warp control suture in rhinoplasty.

Main Methods:

An ex vivo experiment using 10 coastal cartilage specimens demonstrated the suture's ability to prevent warping after saline immersion.
A retrospective review of nine patients (16 grafts) who underwent rhinoplasty with the warp control suture, with a minimum 6-month follow-up.

Main Results:

Ex vivo: None of the sutured segments warped, while all control segments showed significant warping.
Clinical: No postoperative warping was observed in any of the nine patients at 6-month follow-up.
One minor infection, unrelated to the graft, was successfully treated with antibiotics.

Conclusions:

The warp control suture technique effectively straightens coastal cartilage grafts.
This method reliably prevents postoperative warping, enhancing rhinoplasty outcomes.