Using rib cartilige could reduce complications in nose jobs

2 December 2014 

Using a patient's own rib cartilage for a rhinoplasty could reduce the number of long-term complications associated with the procedure, a new report has claimed.

Published in the Journal of the American Medical Association (JAMA) Facial Plastic Surgery, autologous rib cartilage is often the favoured source of graft material for rhinoplasty because of its strength and plentiful quantity.

However, using rib cartilage to build up the bridge of the nose has been criticised as it can warp and cause issues at the cartilage donor site.

The study analysed ten studies involving 491 patients with an average follow-up across all studies of 33.3 months. It found that combined complication rates from the studies were 3.08 per cent for warping, 0.22 per cent for resorption, 0.56 per cent for infection, 0.39 per cent for displacement, 5.45 per cent for hypertrophic chest scarring (keloids), and 14.07 per cent for revision surgery.

Dr Jee Hye Wee, of the National Medical Center, Seoul, South Korea, and co-authors reviewed the available information to evaluate complications associated with rib cartilage and rhinoplasty.

"The overall long-term complications associated with autologous rib cartilage use in rhinoplasty were low."

Posted by Edward Bartel

 

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