Allogenous Cartilage Graft Versus Autogenous Cartilage Graft in Augmentation Rhinoplasty: A Decade of Clinical Experience |
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Authors: | Z Tosun F E Karabekmez M Keskin A Duymaz N Savaci |
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Institution: | (1) Department of Plastic Reconstructive Surgery, Selcuk University, Meram Faculty of Medicine, Konya, 42000, Turkey |
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Abstract: | Cartilage grafts have great value in augmentation rhinoplasty. For most surgeons, an autogenous cartilage graft is the first
choice in rhinoplasty because of its resistance to infection and resorption. On the other hand, an allogenous cartilage graft
might be preferred over an autogenous graft to avoid additional morbidity and lengthened operating time. Allogenous cartilage
grafts not only have the advantage of averting donor site morbidity but also are resistant to infection, resembling autogenous
cartilage grafts. The authors present their experience with 41 patients who underwent augmentation rhinoplasty using 22 autogenous
and 19 allogenous cartilage grafts between June 1994 and August 2004. For evaluation of adequate augmentation rates, photographic
analyses were performed on preoperative, early postoperative, and late postoperative photographs from all the patients. To
assess patient satisfaction, the Facial Appearance Sorting Test (FAST) was applied preoperatively and late postoperatively
in both groups. These results were compared, and it was concluded that in terms of resorption, there was no difference in
the early and late postoperative follow-up data between allogenous and autogenous cartilage grafts. Evaluation of the preoperative
and early postoperative photographic outcomes showed statistically significant differences with respect to adequate augmentation
rates between the two groups. The FAST scores showed statistically significant differences between preoperative and late postoperative
outcomes. There were no infections in the two groups of patients.
Commentary to DOI: . |
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Keywords: | Allogenous cartilage graft Augmentation rhinoplasty |
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