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Fresh Frozen Cartilage in Rhinoplasty Surgery: A Systematic Review of Outcomes
Murtaza Kadhum1, Karishma Khan2, Khalifa Al-Ghanim3
1Welsh Centre for Burns and Plastic Surgery, Morriston Hospital, Swansea, UK. Murtaza.kadhum2@nhs.net.
Aesthetic Plastic Surgery
|March 26, 2024
Summary
Fresh frozen rib cartilage is a safe and effective alternative for rhinoplasty, showing low complication rates and high patient satisfaction. Further research is needed to compare its cost-effectiveness against autologous grafts.
Area of Science:
- Plastic Surgery
- Regenerative Medicine
- Biomaterials
Background:
- Cadaveric fresh frozen cartilage offers a promising alternative to traditional autologous cartilage grafts.
- This systematic review analyzes existing literature on fresh frozen rib cartilage use in rhinoplasty.
Purpose of the Study:
- To systematically review clinical and aesthetic outcomes of fresh frozen rib cartilage in rhinoplasty.
- To compare fresh frozen rib cartilage with autologous grafts.
Main Methods:
- Systematic review registered in PROSPERO (CRD42023447166).
- Adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.
- Level of Evidence III.
Main Results:
- Four articles with 554 patients (86% female, mean age 35.8-40.6) were included.
- Low pooled complication rates: infection (2%), warping (1.4%), resorption (0.5%).
- High patient satisfaction and low revision rates reported.
Conclusions:
- Fresh frozen rib cartilage is a safe and reliable alternative to autologous rib grafts.
- Complication rates are comparable to autologous grafts and irradiated allografts.
- Further studies are needed to assess clinical and cost-effectiveness.
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