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Updated: Sep 24, 2025

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Fresh Frozen Rib Cartilage Grafts in Revision Rhinoplasty: A 9-Year Experience.

Rod J Rohrich1, Jasson Abraham1, Brendan Alleyne1

  • 1From the Dallas Plastic Surgery Institute; Baylor College of Medicine; Division of Plastic Surgery, Baylor Scott & White, Texas A&M Health Science Center; and private practice.

Plastic and Reconstructive Surgery
|May 5, 2022
PubMed
Summary
This summary is machine-generated.

Revision rhinoplasty can be challenging due to cartilage scarcity. Fresh frozen rib grafts offer a safe and effective solution for nasal framework reconstruction, enhancing outcomes and minimizing complications in complex cases.

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Area of Science:

  • Plastic Surgery
  • Rhinology
  • Regenerative Medicine

Background:

  • Revision rhinoplasty presents significant challenges, particularly when native septal cartilage is insufficient for reconstruction.
  • Autologous costal cartilage harvesting carries risks including increased operative time and secondary site complications like scarring and pneumothorax.

Purpose of the Study:

  • To evaluate the efficacy and safety of using fresh frozen off-the-shelf rib cartilage grafts in revision rhinoplasty.
  • To assess outcomes such as warping, resorption, displacement, and infection rates associated with this grafting material.

Main Methods:

  • A retrospective review of 226 patients undergoing open revision rhinoplasty with fresh frozen rib cartilage grafts (2011-2020).
  • Inclusion criteria required a minimum 6-month follow-up.
  • Outcomes analyzed included graft warping, resorption, displacement, and infection.

Main Results:

  • The study included 226 patients with a mean follow-up of 12.18 months.
  • Overall infection rate was 2.7%, with most cases managed non-surgically.
  • The majority of patients had one prior rhinoplasty, but 4% had undergone four or more.

Conclusions:

  • Fresh frozen rib grafts provide a stable nasal framework, significantly enhancing revision rhinoplasty outcomes.
  • This study demonstrates the safety and efficacy of fresh frozen rib grafts compared to other cartilage sources.
  • The use of readily available, tailored fresh frozen rib grafts is a viable option for complex nasal reconstructions.