Adverse Outcomes and Complications of Autologous Versus Homologous Costal Cartilage Grafts in Septorhinoplasty: A Systematic Review and Meta-analysis
Clicks: 1
ID: 319368
2026
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
0.0
/100
1 views
0 readers
AI Quality Assessment
Not analyzed
Readership in this journal
Ranked #67 of 72 articles by views in Aesthetic surgery journal
Most read
Least read
Bar heights use a square-root scale.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
Costal cartilage is frequently used in rhinoplasty when septal cartilage is insufficient; however, comparative data across different processing methods remain limited. This systematic review and meta-analysis evaluated complication rates associated with autologous costal cartilage (ACC), irradiated homologous costal cartilage (IHCC), Tutoplast-processed cartilage, and fresh-frozen costal cartilage grafts. Following the PRISMA guidelines, 50 studies comprising 4,482 patients were included (ACC, n = 1,951; Tutoplast, n = 1,200; IHCC, n = 676; fresh frozen, n = 629). Random-effects meta-analysis demonstrated low pooled complication rates: warping (2.9%), resorption (1.6%), infection (1.9%), extrusion (0.0%), revision surgery (5.0%), and patient dissatisfaction (4.0%). No significant differences were observed among graft types for any outcome (all P > .05), suggesting comparable safety profiles. Configuration and processing influenced specific outcomes. For ACC dorsal onlay grafts, laminated constructs showed significantly lower warping rates than en bloc grafts (0.0% vs 5.42%; P = .004). Among en bloc dorsal grafts across all types, fresh-frozen cartilage demonstrated the lowest warping rate (0.60%), significantly lower than ACC (P = .030). Risk of bias, assessed using the ROBINS-I tool, was serious to critical across studies, with evidence of small-study effects. Given the predominance of retrospective designs and substantial heterogeneity, findings should be interpreted cautiously. Graft selection may therefore be guided by availability, cost, and surgeon experience rather than differences in complication rates alone. Prospective, standardized studies with long-term follow-up are warranted.
| Reference Key |
openalex_W7166644792
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Witsanu Jullamusi, Kritsada Kowitwibool, Amontep Mungmee, Panutas Piyananthasomdee |
| Journal | Aesthetic surgery journal |
| Year | 2026 |
| DOI |
10.1093/asj/sjag131
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.