Sonoelastographic Evaluation of the Lower Lateral Nasal Cartilage Lateral Crus, Auricular Conchal Cartilage, and Costal Cartilage

Şahan, Mehmet Hamdi; Muluk, Nuray Bayar; İnal, Mikail; Asal, Neşe; Şimşek, Gökçe; Arıkan, Osman Kürşat

doi:10.1055/s-0039-3399577

Cited by 8 publications

(4 citation statements)

References 23 publications

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“…It is difficult to directly compare the present findings to those from previous studies of measurement. The range of elastic modulus from the results of this study was similar to a recent study [ 22 ]. This study attempted to quantify the elastic properties of auricular conchal cartilage, nasal cartilage, and costal cartilage using SWE.…”

Section: Discussionsupporting

confidence: 91%

“…It is widely used for muscles, ligaments, and tendons [ 21 ]. One recent study has demonstrated that SWE is a feasible method for quantifying the elastic properties of lower lateral nasal cartilage, costal cartilage, and conchal cartilage [ 22 ]. Few studies have been conducted to investigate the specific-regional elastic properties of distal FAC.…”

Section: Introductionmentioning

confidence: 99%

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Quantifying Region-Specific Elastic Properties of Distal Femoral Articular Cartilage: A Shear-Wave Elastography Study

Deng

Lin

et al. 2022

Applied Bionics and Biomechanics

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Knee osteoarthritis is a disease with the degeneration of articular cartilage as its main feature. Cartilage thickness cannot become a single index to evaluate cartilage degeneration, so it is essential to also evaluate the stiffness. The purposes were as follows: (1) to examine test-retest reliabilities of the elastic modulus measurement in distal femoral articular cartilage (FAC) and compare the changes in specific-regional of distal FAC, (2) to explore the difference in distal FAC stiffness and thickness between the dominant and nondominant sides, and (3) to examine the correlation between the elastic properties of cartilage and the thickness of cartilage. Twenty healthy participants were recruited. The stiffness of distal FAC at the lateral femoral condyle (LFC), medial femoral condyle (MFC), and intercondylar notch (IN) was quantified using shear-wave elastography (SWE). Intra- and interrater reliabilities were excellent for measuring the stiffness of distal FAC (ICC: 0.83-0.98). About a 50% increase in the stiffness of LFC (40.78 kPa) was found when compared with IN (21.82 kPa) and MFC (18.34 kPa). No significant difference was found between the dominant and nondominant sides in distal FAC stiffness and thickness. There was no correlation between the stiffness and thickness of the distal FAC. In conclusion, SWE can quantify the stiffness of the distal FAC.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Quantifying Region-Specific Elastic Properties of Distal Femoral Articular Cartilage: A Shear-Wave Elastography Study

Deng

Lin

et al. 2022

Applied Bionics and Biomechanics

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“…24 Sonoelastographic studies suggest use of auricular conchal cartilage for primary and revision rhinoplasties given that its shear wave elastography profile is most similar to that of the lower lateral nasal cartilage, whereas costal cartilage should only be used for nasal dorsum augmentation given its higher shear wave elastography profile. 25 Lastly, utilization of any cartilage grafts for late reconstruction does not increase risk of adverse events (P = 0.597). This remained true when comparing ear versus rib cartilage for late reconstruction (P = 0.394).…”

Section: Discussionmentioning

confidence: 96%

“…Advantages of ear cartilage include its convenient harvest from a relatively local additional surgical site, but its disadvantages include decreased stiffness precluding its use for substantial structural support 24. Sonoelastographic studies suggest use of auricular conchal cartilage for primary and revision rhinoplasties given that its shear wave elastography profile is most similar to that of the lower lateral nasal cartilage, whereas costal cartilage should only be used for nasal dorsum augmentation given its higher shear wave elastography profile 25. Lastly, utilization of any cartilage grafts for late reconstruction does not increase risk of adverse events ( P =0.597).…”

Section: Discussionmentioning

confidence: 99%

Cleft Rhinoplasty: Does Timing and Utilization of Cartilage Grafts Affect Perioperative Outcomes?

Kalmar

Carlson

Patel

et al. 2022

Journal of Craniofacial Surgery

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Background: The purpose of this study was to evaluate the epidemiology and perioperative complications of different reconstructive strategies to correct cleft nasal deformity, with particular attention paid to type and timing of cartilage grafting. Methods: Retrospective cohort study was conducted of cleft rhinoplasty performed between 2012 and 2017 in North America utilizing the American College of Surgeons National Surgical Quality Improvement Program- Pediatric hospital network. Medical/surgical complications, reoperations, and readmissions within 30 days postoperatively were analyzed with appropriate statistics. Results: During the study interval, 3317 pediatric patients underwent cleft rhinoplasty, with 8.0% involving the use of cartilage grafts. Ear cartilage was significantly more commonly used for intermediate repair, whereas rib cartilage was more commonly used for late repair (P=0.006). Overall, rhinoplasties with ear cartilage grafts had shorter procedure durations than those without cartilage grafts (P=0.005), whereas those with rib cartilage grafts had increased procedure duration (P<0.001). The use of cartilage grafts was not associated with increased complications in either intermediate or late cleft rhinoplasty. Patients with bilateral clefts were more likely to undergo rhinoplasty with cartilage grafts overall (P=0.047) and with cartilage grafts for late reconstruction (P=0.039). Conclusions: Ear cartilage is most frequently utilized for intermediate repair, whereas rib cartilage is most frequently utilized for late repair during cleft rhinoplasty. Ear cartilage grafts are associated with significantly decreased procedure duration, whereas rib cartilage grafts are associated with significantly increased procedure duration. Not surprisingly, cleft rhinoplasty is relatively safe, with a 2% overall short-term complication rate.

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Application of Auricular Cartilage-Skin Graft in the Reconstruction of Unilateral Cleft Lip Nasal Deformity

et al. 2023

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Sonoelastographic Evaluation of the Lower Lateral Nasal Cartilage Lateral Crus, Auricular Conchal Cartilage, and Costal Cartilage

Cited by 8 publications

References 23 publications

Quantifying Region-Specific Elastic Properties of Distal Femoral Articular Cartilage: A Shear-Wave Elastography Study

Quantifying Region-Specific Elastic Properties of Distal Femoral Articular Cartilage: A Shear-Wave Elastography Study

Cleft Rhinoplasty: Does Timing and Utilization of Cartilage Grafts Affect Perioperative Outcomes?

Application of Auricular Cartilage-Skin Graft in the Reconstruction of Unilateral Cleft Lip Nasal Deformity

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