Long-Term Complications from Diced Cartilage in Rhinoplasty: A Meta-Analysis

Li, Jiaqi; Sang, Chen; Fu, Rao; Liu, Chuanqi; Suo, Linlang; Yan, Yuxin; Li, Kai; Huang, Ru‐Lin

doi:10.1089/fpsam.2021.0002

Cited by 7 publications

(3 citation statements)

References 38 publications

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“…A diced cartilage packing method did not correlate with irregularity and revision surgery. [ 43 ]/2022 This study examined an autologous material that doesn't disperse for use in dorsal nasal augmentation. Resorption, warping, and wrapping membrane resistance are significant for this material.…”

Section: Methodsmentioning

confidence: 99%

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

Nikparto,

Yari,

Mehraban

et al. 2024

Maxillofac Plast Reconstr Surg

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Background An essential aspect of rhinoplasty is the enhancement of the nasal dorsal contour by performing dorsal augmentation (DA) rhinoplasty. A wide range of techniques are available for DA as the demand for aesthetic nasal refinement grows. This review aims to provide a comprehensive overview of the current techniques used in DA rhinoplasty. Main body Research articles on DA rhinoplasty techniques were identified through a comprehensive literature search. Scopus, PubMed, and Web of Science were used as electronic databases. Each database was searched for articles published since its inception. DA rhinoplasty techniques were examined in this literature review. Methodological quality was assessed for the selected studies, and data was extracted to examine materials used, surgical approaches, and reported outcomes for each technique. Various DA methods, including autologous grafts and synthetic implants, are examined in-depth in this review. Comparing approaches can help better understand their respective advantages and limitations. Conclusion A wealth of techniques is available for DA rhinoplasty, each with advantages. Patients’ nasal anatomy, desired outcomes, and potential risks must be considered by surgeons when determining their surgical approach. DA methods continue to evolve rapidly, creating a need for a thorough understanding of the current landscape to make informed decisions.

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Section: Methodsmentioning

confidence: 99%

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

Nikparto,

Yari,

Mehraban

et al. 2024

Maxillofac Plast Reconstr Surg

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“…The resulting graft is malleable, allowing for precise augmentation and reshaping of the nasal dorsum, with the fascia layer facilitating integration into the recipient site [9,10]. The DCF technique offers several advantages over traditional methods, including the ability to customize the shape and volume of the graft, reduced risk of graft resorption or displacement, improved contouring and blending with surrounding nasal structures, and potential for improved long-term stability and esthetic outcomes [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…Li et al (2021) reported an overall complication rate of 11.5% for DCF grafts, with infection and visible irregularity being the most common complications[25]. Compared with other grafting techniques, such as irradiated homologous and autologous costal cartilage grafting, the DCF technique demonstrates comparable or lower complication rates, further supporting its reliability[26,27].…”

mentioning

confidence: 99%

Saddle Nose Deformity Reconstruction in Yemen: A Prospective Study of the Diced Cartilage Fascia Technique

Alsiaghi,

Al-Shoaibi,

Al-ajaly

et al. 2024

Preprint

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Background: Saddle nose deformity is a significant challenge in conflict-affected and resource-limited settings. The diced cartilage fascia (DCF) technique, which involves wrapping diced cartilage in the fascia, has demonstrated promising results, but it remains underexplored. Objective: To evaluate the efficacy, safety, and patient satisfaction of the DCF technique for saddle nose deformity reconstruction in Yemen. Methods: This prospective case series included 30 patients who underwent nasal reconstruction using the DCF technique between January 2020 and January 2023. Outcomes were assessed through pre- and postoperative photographs, Nasal Obstruction Symptom Evaluation (NOSE) scores, Rhinoplasty Outcome Evaluation (ROE) scores, and patient interviews over a 6-month follow-up period. Results: Significant improvements in nasal shape and function were observed. The mean A-B line measurement increased from 16.75 mm to 21 mm (p < 0.001), and the mean NOSE score decreased from 52.8 to 5 (p < 0.01). Patient satisfaction was notably high, with 96.7% of patients reporting excellent satisfaction. The complication rate was 6.6%, and manageable issues, such as nasal deviation and infection. Conclusion: The DCF technique is a safe and effective method for correcting saddle nose deformity in resource-limited settings and has significant functional and esthetic improvements. Further research with larger sample sizes and longer follow-up periods is recommended to validate these findings.

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Prophylactic Antibiotic Use in Reconstruction of Nasal Mohs Defects

Lee,

Longino,

Desisto

et al. 2024

Otolaryngol.--head neck surg.

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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.

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Long-Term Complications from Diced Cartilage in Rhinoplasty: A Meta-Analysis

Cited by 7 publications

References 38 publications

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

Saddle Nose Deformity Reconstruction in Yemen: A Prospective Study of the Diced Cartilage Fascia Technique

Prophylactic Antibiotic Use in Reconstruction of Nasal Mohs Defects

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