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Erschienen in:
07.09.2022 | Review
Complications Associated with Autologous Costal Cartilage Used in Rhinoplasty: An Updated Meta-Analysis
Erschienen in: Aesthetic Plastic Surgery | Ausgabe 1/2023
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Objective
To estimate the complications using autologous costal cartilage as grafts in rhinoplasty objectively and systematically with newly published literature.
Methods
The literature was searched systematically; included studies were published between July of 1990 and April of 2020. Meta-analysis was performed using a random-effects model.
Results
Twenty studies involving 1648 patients were included for meta-analysis. The pooled rates of complications were 3.05% of warping (95% CI 1.36–5.19%), 1.2% of resorption (95% CI 0.26–2.56%), 1.45% of infection (95% CI 0.34–3.06%), and 1.53% of contour irregularity (95% CI 0.53–2.88%). The revision rate was 2.25% (95% CI 0.96–3.9%). Regarding of donor-site morbidities, the rate of hypertrophic chest scar was 2.08% (95% CI 0.31–4.83%), and the rate of pneumothorax was 0% (95% CI 0–0.46%). The pooled rates of complications were 9.06% (95% CI 6.13–12.43%) at the recipient site when complications at the recipient site did not include revision surgery, 1.47% (95% CI 0.17–3.56%) at the donor site, and 15.13% (95%CI 11.03–19.69%) overall. The recipient-site adverse event rate was 12.44% (95% CI 8.98–16.33%).
Conclusions
Warping was found the most common complication after rhinoplasty with autologous costal cartilage. Revision after rhinoplasty using autologous costal cartilage was increased in these years. Donor-site complications increased the complication rate after rhinoplasty using autologous rib cartilage by 22%.
Level of Evidence III
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266