Complications of the nasal dorsum reconstruction using autologous or alloplastic grafts: evidence from systematic review and meta-analysis

Hudise, Jibril Y.; Aldhabaan, Saud A.; Aldosari, Badi

doi:10.1016/j.bjorl.2020.07.001

Cited by 9 publications

(2 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The infection rate was relatively low (0%, 95% CI: 0%–0.6%) in this study, which was largely due to the characteristics of the material of autologous cartilage itself as shown in the comparison between autologous and alloplastic grafts in previous meta-analysis43 The previous studies of the meta-analysis reported infection rates of 3.7% in alloplastic grafts,43 2.3% in diced cartilage wrapped in fascia,40 and 0.56% in blocked costal cartilage 39. Long operation time, negligence of perioperative management, diabetes, immune system deficiency, or other diseases may increase the chance of infection.…”

Section: Discussionmentioning

confidence: 52%

Complications of Diced Cartilage Wrapped in Blood Products in Rhinoplasty: A Meta-Analysis

Song

Dong

Fan

2022

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

Background: Diced cartilage wrapped in blood products has been increasingly advocated in rhinoplasty. The complication is a major concern of the procedure. This meta-analysis aims to assess the complication rates and revision rate of this procedure. Methods: All original articles published up to March 2022 were searched through PubMed, Embase, and Web of Science databases. Additional articles were added through reference searching. Articles were included for meta-analysis according to inclusion criteria. Data were extracted by 2 individuals independently and the analysis was conducted through Stata 12.0 software (StataCorp., College Station, Texas). Results: A total of 559 articles were initially found and an additional 1 article was added through reference searching. A total of 11 articles including 469 patients were included for metaanalysis. The results indicated that the total complication rates were 1.2% for irregularity, 0.2% for visibility, 0.7% for deviation, 1% for erythema, and 0% for graft resorption, depression, and infection. The revision rate was 1.2%. Conclusions: The overall complication and revision rates of diced cartilage wrapped in blood products in rhinoplasty were relatively low. Considering the limited number of related studies, a larger sample size, long-term follow-up, clear diagnostic criteria, and detailed methods of measurement are expected in further research.

show abstract

Section: Discussionmentioning

confidence: 52%

Complications of Diced Cartilage Wrapped in Blood Products in Rhinoplasty: A Meta-Analysis

Song

Dong

Fan

2022

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

“…The rate of revision or subsequent rhinoplasticism is one technique of identifying problems. Average revision chirurgical rate 8%-15%, certain specialist groups require revision in 5%-10% of initial cases, as reported in the literature (Hudise, Aldhabaan, & Aldosari, 2020).…”

Section: Introductionmentioning

confidence: 64%

A Medical Approach for Rhinoplasty

Shahzad¹,

Hussain²,

Karim³

et al. 2022

FCS

View full text Add to dashboard Cite

Rhinoplasty is one of the most commonly performed aesthetic surgical procedures in plastic surgery. Over the past 20 years, one of the most gratifying operations performed by facial plastic surgeons remains rhinoplasty. Both surgeries and patients may feel like they are running "home" when everything is running as scheduled, but mutual sadness may also occur when the outcome is different. Many of the typical complexities can be prevented with careful attention to particular operational maneuvers with intentional actions, extra grafts, or more conservative resections during the main rhino-plastic procedure. A view of these retrospective problems may reveal typical risks that are preemptive when the procedure is performed. Due to the subjective character of the esthetic outcome, the identification of problems in cosmetic rhinoplasty is challenging. One may expect rhino-plastic patients more critical of the outcomes, but our experience as well as those of others suggest that the surgeon is more likely than the patient to be satisfied. With a subsequent medial collapse, the ULCs might become destabilized. Moreover, the new dorsal septum produced by the excision of the hump is smaller than the original native dorsum. Even if the ULCs shrink solidly to the septum, a constricted middle vault region will be created.

show abstract

Prophylactic Antibiotic Use in Reconstruction of Nasal Mohs Defects

Lee,

Longino,

Desisto

et al. 2024

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

ObjectiveTo evaluate the effect of prophylactic antibiotics on outcomes and complications following surgical reconstructions of nasal Mohs defects in the outpatient setting.Study DesignRetrospective cohort study.SettingSingle tertiary care center, July 2021 to June 2023.MethodsAll adult patients who underwent reconstruction of nasal Mohs defects in an outpatient office setting were examined. Patient demographics, surgical details, prophylactic postprocedural antibiotic use, and postprocedural complications (infection, flap or graft necrosis, wound dehiscence) were collected. Outcomes and complications were compared between patients who received and did not receive prophylactic antibiotics using χ2, Kruskal‐Wallis, and multivariable logistic regression.ResultsA total of 211 patients met inclusion criteria. A majority of reconstructions utilized a local flap (70%), followed by a skin or composite graft (22%), then an interpolated flap (8%). Over half of patients (55%) were prescribed prophylactic antibiotics. Postprocedural complications were documented in 16 patients (7.6%), including infection (3.3%) and flap or graft loss or necrosis (1.4%). The rate of complications did not differ based on receipt of antibiotics. The only factors independently associated with the development of complications were history of chemoradiation and reconstruction with skin or composite grafts.ConclusionProphylactic antibiotics after nasal Mohs reconstructions performed in the office setting were not associated with any differences in the rate of postprocedural complications, including surgical site infections.

show abstract

Complications of the nasal dorsum reconstruction using autologous or alloplastic grafts: evidence from systematic review and meta-analysis

Cited by 9 publications

References 48 publications

Complications of Diced Cartilage Wrapped in Blood Products in Rhinoplasty: A Meta-Analysis

Complications of Diced Cartilage Wrapped in Blood Products in Rhinoplasty: A Meta-Analysis

A Medical Approach for Rhinoplasty

Prophylactic Antibiotic Use in Reconstruction of Nasal Mohs Defects

Contact Info

Product

Resources

About