Related Experiment Video
Updated: Dec 2, 2025

A Novel Approach to Monitoring Graft Neovascularization in the Human Gingiva
Published on: January 12, 2019
Grafting in Modern Rhinoplasty
Steven Halepas1, Kevin C Lee1, Charles Castiglione2
1Division of Oral & Maxillofacial Surgery, Columbia University Medical Center, New York-Presbyterian, 622West 168th Street, Suite 7-250, New York, NY 10032, USA.
This review examines the use of grafting materials in modern rhinoplasty. The authors analyze current practices and materials used in nasal reconstruction. Septal cartilage is the most commonly used graft material, but alternatives like auricular and rib cartilage are also reliable. The literature lacks randomized trials comparing graft materials. The review highlights the need for standardized protocols and further research. This synthesis may inform future studies on graft efficacy in nasal surgery. The authors emphasize the importance of graft material selection based on surgical goals. These findings may guide clinical decisions in nasal reconstruction.
Area of Science:
- Plastic surgery outcomes research within reconstructive surgery
- Grafting techniques in nasal surgery
Background:
Understanding optimal grafting strategies in rhinoplasty remains a challenge. Prior research has shown that nasal surgery requires precise three-dimensional manipulation. It was already known that septal cartilage is frequently used in nasal reconstruction. No prior work had resolved the lack of randomized trials comparing graft materials. That uncertainty drove the need for a comprehensive review of available options. This gap motivated the authors to examine current practices and materials. The field lacks strong evidence on graft material efficacy. This review aims to clarify available grafting approaches.
Purpose Of The Study:
The goal of this review is to evaluate current grafting practices in rhinoplasty. The specific problem is the absence of comparative clinical trials on graft materials. The authors aim to synthesize evidence on grafting techniques and materials. The motivation stems from the need for standardized guidance in nasal surgery. No prior work had resolved the lack of consensus on graft selection. That uncertainty drove the decision to compile available literature. The study focuses on materials and configurations used in modern rhinoplasty. This review approach addresses a critical knowledge gap in nasal reconstruction.
Main Methods:
The authors conducted a literature review of grafting materials in rhinoplasty. They examined primary and secondary nasal surgery techniques. The review approach included analysis of graft sources and configurations. Septal cartilage was identified as the most common graft material. Alternative grafting options were also evaluated in the study. The authors compared grafting techniques for functional and aesthetic outcomes. No randomized clinical trials were found in the literature. The synthesis of evidence focused on current practices and material reliability.
Main Results:
Septal cartilage remains the most frequently used grafting material. Alternative graft sources include auricular cartilage and rib cartilage. The literature suggests that graft selection depends on surgical goals. No definitive evidence supports one graft material over another. The authors found no randomized trials comparing graft effectiveness. Graft configurations vary based on nasal reconstruction needs. The review highlights the lack of comparative clinical data. This finding indicates a need for further research on graft efficacy.
Conclusions:
The authors synthesize evidence on grafting materials in rhinoplasty. They propose that septal cartilage is the most commonly used option. The literature suggests multiple reliable alternatives exist. No prior work had resolved the lack of comparative trials. That uncertainty drove the need for this synthesis. The authors emphasize the importance of graft material selection. The review approach highlights the need for standardized protocols. These findings may inform future research directions in nasal surgery.
Frequently Asked Questions
The authors suggest that septal cartilage is the most frequently used graft material in rhinoplasty.
The literature suggests that auricular and rib cartilage are reliable alternatives to septal cartilage in nasal reconstruction.
The authors found no randomized clinical trials comparing graft materials and techniques for specific indications in rhinoplasty.
The authors propose that surgical goals and reconstruction needs influence the selection of graft materials in rhinoplasty.
The literature suggests that auricular and rib cartilage are reliable alternatives to septal cartilage in nasal surgery.
The authors synthesize evidence to highlight the need for standardized protocols and further research on graft materials in nasal surgery.

