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Erschienen in: European Archives of Oto-Rhino-Laryngology 3/2015

01.03.2015 | Rhinology

Comparison of autogeneous and homogeneous nasal dorsal onlay grafts in an experimental design

verfasst von: Kenan Selçuk Tuncay, Emre Günbey, Gülçin Şimşek, Baran Acar, Rıza Murat Karasen

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 3/2015

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Abstract

An experimental model was used for the comparative evaluation of autogeneous and homogeneous nasal dorsal onlay cartilage grafts. This study was conducted on 18 adult white New Zealand male rabbits. Nasal septal cartilage (NSC), sliced nasal septal cartilage (SNSC) and auricular cartilage (AC) grafts were prepared in autogeneous and homogeneous forms and placed into the subcutaneous pockets of the nasal dorsum of rabbits. After a period of 3 months, the animals were painlessly killed, and each site was analyzed histologically for inflammation, neovascularization, fibrosis and resorption. Inflammation, fibrosis and neovascularization were found to be significantly more extensive in the homogeneous graft groups and autogeneous SNSC group 3 months after implantation. Resorption was significantly high in both homogeneous and autogeneous AC groups and significantly low in the autogeneous and homogeneous SNSC groups. There was no significant difference between the homogeneous and autogeneous grafts in terms of resorption rates. In conclusion, the results of this experimental study demonstrate that resorption was lesser than expected in the sliced cartilage graft and that homologous cartilage graft applications had activity and reliability similar to that of autogenous cartilage grafts.
Literatur
1.
Zurück zum Zitat Tarhan E, Cakmak O, Ozdemir BH, Akdoğan V, Suren D (2008) Comparison of alloderm, fat, fascia, cartilage, and dermal grafts in rabbits. Arch Facial Plast Surg 10(3):187–193CrossRefPubMed Tarhan E, Cakmak O, Ozdemir BH, Akdoğan V, Suren D (2008) Comparison of alloderm, fat, fascia, cartilage, and dermal grafts in rabbits. Arch Facial Plast Surg 10(3):187–193CrossRefPubMed
2.
Zurück zum Zitat Tebbetts JB (2009) Secondary dorsum modifications. In: Tebbets JM (ed) Primary rhinoplasty, 2nd edn, p 393 Tebbetts JB (2009) Secondary dorsum modifications. In: Tebbets JM (ed) Primary rhinoplasty, 2nd edn, p 393
3.
Zurück zum Zitat Brown BL, Neel HB, Kern EB (1979) Implants of supramid, proplast, plasti-pore, and silastic. Arch Otolaryngol 105:605–609CrossRefPubMed Brown BL, Neel HB, Kern EB (1979) Implants of supramid, proplast, plasti-pore, and silastic. Arch Otolaryngol 105:605–609CrossRefPubMed
4.
Zurück zum Zitat Davis PK, Jones SM (1971) The complication of silastic implants: experience with 137 consecutive cases. Br J Plast Surg 24:405–411CrossRefPubMed Davis PK, Jones SM (1971) The complication of silastic implants: experience with 137 consecutive cases. Br J Plast Surg 24:405–411CrossRefPubMed
5.
Zurück zum Zitat Rees TD, Jobe RP, Ballantyne DL (1977) Inorganic implants. In: Converse JM (ed) Reconstructive plastic surgery: general principles, vol 1. WB Saunders, Philadelphia, pp 339–412 Rees TD, Jobe RP, Ballantyne DL (1977) Inorganic implants. In: Converse JM (ed) Reconstructive plastic surgery: general principles, vol 1. WB Saunders, Philadelphia, pp 339–412
6.
Zurück zum Zitat Gubisch W, Greulich M, Donath K (1995) Experimental and clinical study on the vitality of orthopotic cartilage transplants. Plast Reconstr Surg 95:663–671CrossRefPubMed Gubisch W, Greulich M, Donath K (1995) Experimental and clinical study on the vitality of orthopotic cartilage transplants. Plast Reconstr Surg 95:663–671CrossRefPubMed
7.
Zurück zum Zitat Brown BL, Kern EB, Neel HB (1980) Transplantation of fresh allografts (homografts) of crushed and uncrushed cartilage and bone: a 1-year analysis in rabbits. Laryngoscope 90:1521–1533PubMed Brown BL, Kern EB, Neel HB (1980) Transplantation of fresh allografts (homografts) of crushed and uncrushed cartilage and bone: a 1-year analysis in rabbits. Laryngoscope 90:1521–1533PubMed
8.
Zurück zum Zitat Maas CS, Gnepp DR, Bumpous J (1993) Expanded polytetrafluroethylene (Gore-Tex soft-tissue patch) in facial augmentation. Arch Otolaryngol 119:1008–1014CrossRef Maas CS, Gnepp DR, Bumpous J (1993) Expanded polytetrafluroethylene (Gore-Tex soft-tissue patch) in facial augmentation. Arch Otolaryngol 119:1008–1014CrossRef
9.
Zurück zum Zitat Baker TM, Courtiss EH (1994) Temporalis fascia grafts in open secondary rhinoplasty. Plast Reconstr Surg 93(4):802–810CrossRefPubMed Baker TM, Courtiss EH (1994) Temporalis fascia grafts in open secondary rhinoplasty. Plast Reconstr Surg 93(4):802–810CrossRefPubMed
10.
Zurück zum Zitat Reich J (1983) The application of dermis grafts in deformities of the nose. Plast Reconstr Surg 71(6):772–782CrossRefPubMed Reich J (1983) The application of dermis grafts in deformities of the nose. Plast Reconstr Surg 71(6):772–782CrossRefPubMed
11.
Zurück zum Zitat Baker TM, Courtiss EH (1994) Temporalis fascia grafts in open secondary rhinoplasty. Plast Reconstr Surg 93(4):802–810CrossRefPubMed Baker TM, Courtiss EH (1994) Temporalis fascia grafts in open secondary rhinoplasty. Plast Reconstr Surg 93(4):802–810CrossRefPubMed
12.
Zurück zum Zitat Reich J (1983) The application of dermis grafts in deformities of the nose. Plast Reconstr Surg 71(6):772–782CrossRefPubMed Reich J (1983) The application of dermis grafts in deformities of the nose. Plast Reconstr Surg 71(6):772–782CrossRefPubMed
13.
Zurück zum Zitat Bartynski J, Marion MS, Wang TD (1990) Histopathologic evaluation of adipose autografts in a rabbit ear model. Otolaryngol Head Neck Surg 102(4):314–321PubMed Bartynski J, Marion MS, Wang TD (1990) Histopathologic evaluation of adipose autografts in a rabbit ear model. Otolaryngol Head Neck Surg 102(4):314–321PubMed
14.
Zurück zum Zitat Farina B (1984) Deformity of nasal dorsum through loss of substance: correction by bone grafting. Ann Plas Surg 12:466–474CrossRef Farina B (1984) Deformity of nasal dorsum through loss of substance: correction by bone grafting. Ann Plas Surg 12:466–474CrossRef
15.
Zurück zum Zitat Harli K (1982) Reconstruction of traumatic short nose with iliac bone graft and nasolabial flaps. Plast Reconst Surg 69:863–868CrossRef Harli K (1982) Reconstruction of traumatic short nose with iliac bone graft and nasolabial flaps. Plast Reconst Surg 69:863–868CrossRef
16.
Zurück zum Zitat Jackson IT, Smith J, Mixter RC (1983) Nasal bone grafting using split skull grafts. Ann Plast Surg 11:533–540CrossRefPubMed Jackson IT, Smith J, Mixter RC (1983) Nasal bone grafting using split skull grafts. Ann Plast Surg 11:533–540CrossRefPubMed
17.
Zurück zum Zitat Çöloğlu H, Uysal A, Tiftikçioğlu YÖ, Oruç M, Koçer U, Coşkun E, Ramadan SU, Astarcı MH (2012) Comparison of autogenous cartilage, acellular dermis, and solvent-dehydrated pericardium for the prevention and correction of dorsal nasal irregularities: an experimental study. Aesthetic Plast Surg 36(3):732–741CrossRefPubMed Çöloğlu H, Uysal A, Tiftikçioğlu YÖ, Oruç M, Koçer U, Coşkun E, Ramadan SU, Astarcı MH (2012) Comparison of autogenous cartilage, acellular dermis, and solvent-dehydrated pericardium for the prevention and correction of dorsal nasal irregularities: an experimental study. Aesthetic Plast Surg 36(3):732–741CrossRefPubMed
18.
Zurück zum Zitat Cingi C, Calli A, Erdogmus N, Calli C, Yilgör I, Yilgör E, Bal C (2013) Two new polymers as candidates for rhinoplasty allografts: an experimental study in a rabbit model. Ann Otol Rhinol Laryngol 122(7):474–479PubMed Cingi C, Calli A, Erdogmus N, Calli C, Yilgör I, Yilgör E, Bal C (2013) Two new polymers as candidates for rhinoplasty allografts: an experimental study in a rabbit model. Ann Otol Rhinol Laryngol 122(7):474–479PubMed
19.
Zurück zum Zitat Gunter JP, Clarc CP, Friedman RM (1997) Internal stabilization of autogenous rib cartilage grafts in rhinoplasty: a barrier to cartilage warping. Plast Reconstr Surg 100:161–169CrossRefPubMed Gunter JP, Clarc CP, Friedman RM (1997) Internal stabilization of autogenous rib cartilage grafts in rhinoplasty: a barrier to cartilage warping. Plast Reconstr Surg 100:161–169CrossRefPubMed
20.
Zurück zum Zitat Allcroft RA, Friedman CD, Quatela VC (1994) Cartilage grafts for head and neck augmentation and reconstruction: autografts and homografts. Otolaryngol Clin North Am 27:69–80PubMed Allcroft RA, Friedman CD, Quatela VC (1994) Cartilage grafts for head and neck augmentation and reconstruction: autografts and homografts. Otolaryngol Clin North Am 27:69–80PubMed
21.
Zurück zum Zitat Cakmak O, Bircan S, Buyuklu F, Tuncer I, Dal T, Ozluoglu LN (2005) Viability of crushed and diced cartilage grafts: a study in rabbits. Arch Facial Plast Surg 7(1):21–26CrossRefPubMed Cakmak O, Bircan S, Buyuklu F, Tuncer I, Dal T, Ozluoglu LN (2005) Viability of crushed and diced cartilage grafts: a study in rabbits. Arch Facial Plast Surg 7(1):21–26CrossRefPubMed
22.
Zurück zum Zitat Rudderman RH, Guyuron B, Mendelsohn G (1994) The fate of fresh and preserved, noncrushed and crushed autogenous cartilage in the rabbit model. Ann Plast Surg 32(3):250–254CrossRefPubMed Rudderman RH, Guyuron B, Mendelsohn G (1994) The fate of fresh and preserved, noncrushed and crushed autogenous cartilage in the rabbit model. Ann Plast Surg 32(3):250–254CrossRefPubMed
23.
Zurück zum Zitat Brenner KA, McConnell MP, Evans GR, Calvert JW (2006) Survival of diced cartilage grafts: an experimental study. Plast Reconstr Surg 117(1):105–115CrossRefPubMed Brenner KA, McConnell MP, Evans GR, Calvert JW (2006) Survival of diced cartilage grafts: an experimental study. Plast Reconstr Surg 117(1):105–115CrossRefPubMed
24.
Zurück zum Zitat Lattyak BV, Maas CS, Sykes JM (2003) Dorsal onlay cartilage autografts. Arch Facial Plast Surg 5:240–243CrossRefPubMed Lattyak BV, Maas CS, Sykes JM (2003) Dorsal onlay cartilage autografts. Arch Facial Plast Surg 5:240–243CrossRefPubMed
25.
Zurück zum Zitat Parker PJ (2000) Grafts in rhinoplasty: alloplastic vs autogenous. Arch Otolaryngol Head Neck Surg 126(4):558–561CrossRef Parker PJ (2000) Grafts in rhinoplasty: alloplastic vs autogenous. Arch Otolaryngol Head Neck Surg 126(4):558–561CrossRef
26.
Zurück zum Zitat Cakmak O, Ergin T (2002) The versatile autogenous costal cartilage graft in septorhinoplasty. Arch Facial Plast Surg 4(3):172–176CrossRefPubMed Cakmak O, Ergin T (2002) The versatile autogenous costal cartilage graft in septorhinoplasty. Arch Facial Plast Surg 4(3):172–176CrossRefPubMed
27.
Zurück zum Zitat Peer LA (1945) The neglected septal cartilage graft (with experimental observations on the growth of human cartilage grafts). Arch Otolaryngol 42:384–396CrossRefPubMed Peer LA (1945) The neglected septal cartilage graft (with experimental observations on the growth of human cartilage grafts). Arch Otolaryngol 42:384–396CrossRefPubMed
28.
Zurück zum Zitat Brent B (1990) Repair and grafting of cartilage and perichondrium. In: McCarthy JG (ed) Plastic surgery, 2nd edn. WB Saunders Company, London, pp 559–581 Brent B (1990) Repair and grafting of cartilage and perichondrium. In: McCarthy JG (ed) Plastic surgery, 2nd edn. WB Saunders Company, London, pp 559–581
29.
Zurück zum Zitat Akbas H, Karacaoğlan N, Eroglu L, Uysal A, Incesu L, Kandemir B (2004) Radiologic and histological evaluation of otogenic sliced cartilage grafts at the tip of the chin of rabbits: an experimental study. Otolaryngol Head Neck Surg 130:453–458CrossRefPubMed Akbas H, Karacaoğlan N, Eroglu L, Uysal A, Incesu L, Kandemir B (2004) Radiologic and histological evaluation of otogenic sliced cartilage grafts at the tip of the chin of rabbits: an experimental study. Otolaryngol Head Neck Surg 130:453–458CrossRefPubMed
30.
Zurück zum Zitat Guyuron B, Friedman A (1994) The role of preserved autogenous cartilage graft in septorhinoplasty. Ann Plast Surg 32(3):255–260CrossRefPubMed Guyuron B, Friedman A (1994) The role of preserved autogenous cartilage graft in septorhinoplasty. Ann Plast Surg 32(3):255–260CrossRefPubMed
31.
Zurück zum Zitat Bujia J (1994) Determination of the viability of crushed cartilage grafts: clinical implications for wound healing in nasal surgery. Ann Plast Surg 32(3):261–265CrossRefPubMed Bujia J (1994) Determination of the viability of crushed cartilage grafts: clinical implications for wound healing in nasal surgery. Ann Plast Surg 32(3):261–265CrossRefPubMed
32.
Zurück zum Zitat Yilmaz S, Erçöçen AR, Can Z, Yenidünya S, Edali N, Yormuk E (2001) Viability of diced, crushed cartilage grafts and the effects of Surgicel (oxidized regenerated cellulose) on cartilage grafts. Plast Reconstr Surg 108(4):1054–1060 (discussion 1061–2)CrossRefPubMed Yilmaz S, Erçöçen AR, Can Z, Yenidünya S, Edali N, Yormuk E (2001) Viability of diced, crushed cartilage grafts and the effects of Surgicel (oxidized regenerated cellulose) on cartilage grafts. Plast Reconstr Surg 108(4):1054–1060 (discussion 1061–2)CrossRefPubMed
Metadaten
Titel
Comparison of autogeneous and homogeneous nasal dorsal onlay grafts in an experimental design
verfasst von
Kenan Selçuk Tuncay
Emre Günbey
Gülçin Şimşek
Baran Acar
Rıza Murat Karasen
Publikationsdatum
01.03.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 3/2015
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-014-3142-z

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