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Updated: Aug 13, 2025

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Auricular Composite Graft Survival in Rhinoplasty.

Dean M Toriumi1,2, Richard Kao3, Taylor Vandenberg4

  • 1Toriumi Facial Plastics, Chicago, Illinois, USA.

Facial Plastic Surgery & Aesthetic Medicine
|January 19, 2023
PubMed
Summary

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Invited Discussion on paper entitled, "A Systematic Analysis of the Nasal Septum in Crooked Noses and Suggested Treatment Algorithm According to Preservation Rhinoplasty (PR) Principles".

Aesthetic plastic surgery·2023

Auricular composite grafts show a high success rate in rhinoplasty, with 93.7% full graft take. This study found no significant change in patient-reported nasal obstruction symptoms after using these grafts.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Nasal Reconstruction

Background:

  • Auricular composite grafts are utilized in rhinoplasty for nasal defect repair.
  • These grafts address issues in the internal nasal valve, ala, vestibule, sill, and external nose.

Purpose of the Study:

  • To evaluate the survival rate of auricular composite grafts (ACGs) in rhinoplasty.
  • To assess patient-reported outcomes using the Nasal Obstruction Symptom Evaluation (NOSE) score post-rhinoplasty with ACGs.

Main Methods:

  • Retrospective chart review of patients undergoing rhinoplasty with ACGs (2002-2019).
  • Analysis of graft survival and NOSE scores.
  • Total of 234 rhinoplasty procedures and 367 ACGs were included.

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Main Results:

  • A high graft survival rate of 93.7% was observed.
  • The overall graft failure rate was 6.3%.
  • No statistically significant difference was found in mean NOSE scores pre- and post-operatively (p=0.63).

Conclusions:

  • Auricular composite grafts are effective for repairing various nasal defects.
  • These grafts demonstrate a high success rate and do not negatively impact patient-reported nasal obstruction symptoms.