Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
A Systematic Review and Meta-Analysis of Complications Associated With Autogenous Diced Cartilage Wrapped in Fascia Used in Nasal Dorsum Augmentation Publisher Pubmed



Keyhan SO1 ; Ramezanzade S1 ; Bohluli B2 ; Fallahi HR3 ; Shakiba M4 ; Yates J5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Maxillofacial Surgery and Implantology Research Foundation, Isfahan University of Medical Science, Yousef abad, Mouj Street, Tehran, Iran
  2. 2. Department of Oral and Maxillofacial Surgery, University of Toronto, Toronto, Canada
  3. 3. Maxillofacial Surgery and Implantology and Biomaterial Research Foundation, Tehran, Iran
  4. 4. Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Oral and Maxillofacial Surgery, University of Manchester, Manchester, United Kingdom

Source: Aesthetic Surgery Journal Published:2021


Abstract

Background: Nasal dorsum augmentation is a highly challenging rhinoplastic procedure. Problems encountered in this surgery, such as residual humps, irregularities, and asymmetry, account for a significant number of revision rhinoplasties. Objectives: The aim of this meta-analysis was to assess complication rates and graft harvesting site morbidity and revision rates. Methods: We carried out a systematic review of the literature for pertinent materials in PubMed/Medline and Google Scholar up to and including August 2020. In addition, the reference list of included studies was searched manually. The criteria used were those described in the PRISMA Declaration for performing systematic reviews. Results: The initial search yielded 236 results. After 3 stages of screening, 16 papers (18 groups) were included in the systematic review and meta-analysis. Our results indicated that the total rates for the complications studied were as follows: Graft resorption, 2.52%; insufficient augmentation, 3.93%; deviation (graft displacement), 1.77%; infection, 2.30%; irregularity, 1.36%; supra-tip depression, 1.13%; overcorrection, 3.06%; hematoma at recipient site, 1.36%; and visible bulging of the graft, 2.64%. The total rates for donor site hypertrophic scar and donor site hematoma were 2.64% and 3.58%, respectively. The rate of the revision surgery was 3.03%. Conclusions: Current findings suggest the overall complications and revision rates with the use of diced cartilage wrapped in fascia for dorsum augmentation were relatively low and this technique is a reliable treatment choice for patients with primary/secondary dorsum deficiencies. Further studies with larger sample sizes and long-term follow-ups, clearer definitions of complications, and objective measurements are warranted to draw reliable practical conclusions. © 2021 The Aesthetic Society.
Related Docs
View other Related Docs
1. Spreader Graft Vs Spreader Flap in Rhinoplasty: A Systematic Review and Meta-Analysis of Aesthetic and Functional Outcomes, Aesthetic Surgery Journal (2022)
2. Secondary Rhinoplasty: Aesthetic and Functional Concerns; [La Rhinoplastie Secondaire : Les Problemes Esthetiques Et Fonctionnels], Plastic Surgery (2019)
3. Septoplasty: Assessment With Rhinomanometry, Journal of Isfahan Medical School (2007)
4. Preservation Rhinoplasty: Evaluating the Effects of Cephalic Resection on Nasal Anatomical Angles in Primary Open Rhinoplasty, European Journal of Plastic Surgery (2024)
5. The Effect of Maxillary Multidirectional Movement on Nasal Respiration, Journal of Oral and Maxillofacial Surgery (2009)
6. The Effects of Partial Turbinectomy on Patients Undergoing Rhinoplasty, Iranian Journal of Otorhinolaryngology (2011)
7. The Effect of Cryotherapy Spray With Fluticasone on Tissue Repair After Endoscopic Sinus Surgery in Patients With Nasal Polyposis: A Randomized Clinical Trial Study, Journal of Isfahan Medical School (2020)
8. Concurrent Excision of Dorsal Nasal Scars and Reduction Rhinoplasty: A Retrospective Cross-Sectional Study, Plastic and Reconstructive Surgery - Global Open (2021)
Experts (# of related papers)
View all Related Experts
Sayed Mostafa Hashemi (6)
Hossein Ghazavi (3)
Other Related Docs
9. Evaluation of Skin-Soft Tissue Envelope Thickness by Ultrasonography After Primary and Revision Rhinoplasty, Aesthetic Plastic Surgery (2023)
10. Comparative Study of the Effectiveness of Sub Mucosal Partial Inferior Turbinectomy and Out Fracture of Inferior Turbinate in the Nasal Respiratory Function of Rhinoplasty Patients, Aesthetic Plastic Surgery (2019)
11. Assessment of the Effect of Simulated Rhinoplasty and Genioplasty on the Facial Profile Attractiveness of Patients With a Convex Face, Journal of Contemporary Dental Practice (2018)
12. Re-Evaluating the Effect of Preoperative Tranexamic Acid on Blood Loss and Field Quality During Rhinoplasty: A Randomized Double-Blinded Controlled Trial, Aesthetic plastic surgery (2022)
13. Prosthetic Reconstruction of a Patient With an Irradiated Rhinectomy and Upper Lip Resection With a Maxillofacial Prosthesis and Removable Complete Dentures: A Clinical Report, Journal of Prosthetic Dentistry (2024)
14. Comparison of Changes in Acne Severity Before and After Rhinoplasty Surgery Using Acne Severity Index, Journal of Isfahan Medical School (2012)
15. Assessment of Outcomes and Complications of Posterior Pharyngeal Wall Augmentation With Dermal Fat Graft in Patients With Velopharyngeal Insufficiency (Vpi) After Primary Cleft Palate Repair: A Pilot Study, JPRAS Open (2019)
16. The Effect of Vitamin D Supplement on the Relapsing Incidence of Rhinosinusitis With Nasal Polyposis After Fuctional Endoscpoic Sinus Surgery, Advanced Biomedical Research (2023)
17. Normal Saline Versus Hypertonic 3% Saline: It's Efficacy in Non-Acute Rhinosinusitis, Iranian Journal of Otorhinolaryngology (2011)
18. Outcome of Spray Cryotherapy Plus Functional Endoscopic Sinus Surgery on Management of Healing in Nasal Polyposis, American Journal of Otolaryngology - Head and Neck Medicine and Surgery (2018)
19. Does Cosmetic Rhinoplasty Affect Sleep Quality And/Or Contribute to the Development of Obstructive Sleep Apnea?, Cranio - Journal of Craniomandibular and Sleep Practice (2024)
20. Effects of Aesthetic Rhinoplasty on Quality of Life, Anxiety/Depression, and Self-Esteem of the Patients, European Journal of Plastic Surgery (2020)
21. Does Amphotericin B Nasal Douching Help Prevent Polyp Recurrence Following Functional Endoscopic Sinus Surgery?, Journal of Research in Medical Sciences (2011)
22. Comparing the Effectiveness of Oral Corticosteroids, Pineapple Extract, and Placebo in Treating Ecchymosis and Edema After Rhinoplasty Surgery; [مقایسهی شدت اثر کورتون خوراکی و عصاره ی آناناس و دارونما بر درمان اکیموز و ادم پس از عمل از جراحی رینوپالستی], Journal of Isfahan Medical School (2024)
23. A Comparison Between External Versus Internal Lateral Osteotomy in Rhinoplasty, Journal of Research in Medical Sciences (2005)
24. Study of Effect of Resection of Cephalic Portion of Nasal Alar Cartilage on Nasal Tip Rotation, Journal of Research in Medical Sciences (2005)
25. Persistent Nasal Skin Lesions in Pemphigus Patients and the Role of Methotrexate in Treatment: A Case Series Study, Dermatology Practical and Conceptual (2025)
26. Comparison of Submucosal Resection (Smr) and Cauterization in Treatment of Turbinate Hypertrophy, Journal of Isfahan Medical School (2011)
27. Investigating the Results of Cautery of Inferior Turbinates in Septorhinoplasty on the Quality of Life of Patients With Allergic Rhinitis, Pakistan Journal of Medical and Health Sciences (2020)
28. Nasal Reconstruction Due to Basal-Cell Carcinoma Using Dental Implants: A Case Report, Dental Hypotheses (2022)
29. Comparing the Efficacy of Lateral Crural Overlay Versus Transposition Technique on Cephalic Malposition in Septorhinoplasty, British Journal of Oral and Maxillofacial Surgery (2021)