Fresh Frozen Homologous Rib Cartilage: A Narrative Review of a New Trend in Rhinoplasty
<b>Background</b>: Revision rhinoplasty is a technically demanding surgical procedure that can put every surgeon in trouble. The main issue of these cases is often an altered osteocartilaginous framework following over-resection during the first intervention. Moreover, the available sept...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-03-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/13/6/1715 |
| _version_ | 1797240522479239168 |
|---|---|
| author | Giovanni Salzano Giovanni Audino Giovanni Dell’Aversana Orabona Umberto Committeri Stefania Troise Antonio Arena Luigi Angelo Vaira Pietro De Luca Alfonso Scarpa Andrea Elefante Antonio Romano Luigi Califano Pasquale Piombino |
| author_facet | Giovanni Salzano Giovanni Audino Giovanni Dell’Aversana Orabona Umberto Committeri Stefania Troise Antonio Arena Luigi Angelo Vaira Pietro De Luca Alfonso Scarpa Andrea Elefante Antonio Romano Luigi Califano Pasquale Piombino |
| author_sort | Giovanni Salzano |
| collection | DOAJ |
| description | <b>Background</b>: Revision rhinoplasty is a technically demanding surgical procedure that can put every surgeon in trouble. The main issue of these cases is often an altered osteocartilaginous framework following over-resection during the first intervention. Moreover, the available septal or auricular cartilage for grafting is usually not enough. This review aims to examine contemporary advances in applications of fresh frozen cartilage in rhinoplasty. <b>Methods</b>: A structured review of the current literature (up to December 2023) was performed on four bibliographic databases: PubMed, EMBASE, Cochrane and Medline. The search terms were combinations of “Rhinoplasty” and “Cartilage Graft”, “Allograft” or “Fresh Frozen Cartilage”. The citations of selected studies and review articles were also evaluated if present. <b>Results</b>: The research resulted in 152 articles, and only ten met the inclusion criteria: nine clinical articles and one in vitro study. One of the ten eligible articles was excluded. <b>Conclusions</b>: Fresh frozen rib cartilage proved to be a viable alternative to autologous rib grafts and irradiated homologous rib graft. Despite the higher costs, FFRG can provide a sufficient amount of tissue for grafting avoiding donor site complications and reducing the operative time and proved to have more chondrocytes and to be less prone to resorption compared to irradiated rib. |
| first_indexed | 2024-04-24T18:08:46Z |
| format | Article |
| id | doaj.art-0f94c4b5f03e46deb4452fce53d2bbdc |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-04-24T18:08:46Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-0f94c4b5f03e46deb4452fce53d2bbdc2024-03-27T13:48:07ZengMDPI AGJournal of Clinical Medicine2077-03832024-03-01136171510.3390/jcm13061715Fresh Frozen Homologous Rib Cartilage: A Narrative Review of a New Trend in RhinoplastyGiovanni Salzano0Giovanni Audino1Giovanni Dell’Aversana Orabona2Umberto Committeri3Stefania Troise4Antonio Arena5Luigi Angelo Vaira6Pietro De Luca7Alfonso Scarpa8Andrea Elefante9Antonio Romano10Luigi Califano11Pasquale Piombino12Neurosciences Reproductive and Odontostomatological Sciences Department, University of Naples “Federico II”, 80131 Naples, ItalyNeurosciences Reproductive and Odontostomatological Sciences Department, University of Naples “Federico II”, 80131 Naples, ItalyNeurosciences Reproductive and Odontostomatological Sciences Department, University of Naples “Federico II”, 80131 Naples, ItalyNeurosciences Reproductive and Odontostomatological Sciences Department, University of Naples “Federico II”, 80131 Naples, ItalyNeurosciences Reproductive and Odontostomatological Sciences Department, University of Naples “Federico II”, 80131 Naples, ItalyNeurosciences Reproductive and Odontostomatological Sciences Department, University of Naples “Federico II”, 80131 Naples, ItalyMaxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, ItalySan Giovanni Addolorata Hospital, Otorhinolaryngology Unit, 00184 Roma, ItalyDepartment of Medicine and Surgery, University of Salerno, Via Salvador Allende 43, 84081 Baronissi, ItalyNeuroradiology Unit, Department of Advance Biomedical Sciences, University of Naples “Federico II”, 80131 Naples, ItalyNeurosciences Reproductive and Odontostomatological Sciences Department, University of Naples “Federico II”, 80131 Naples, ItalyNeurosciences Reproductive and Odontostomatological Sciences Department, University of Naples “Federico II”, 80131 Naples, ItalyNeurosciences Reproductive and Odontostomatological Sciences Department, University of Naples “Federico II”, 80131 Naples, Italy<b>Background</b>: Revision rhinoplasty is a technically demanding surgical procedure that can put every surgeon in trouble. The main issue of these cases is often an altered osteocartilaginous framework following over-resection during the first intervention. Moreover, the available septal or auricular cartilage for grafting is usually not enough. This review aims to examine contemporary advances in applications of fresh frozen cartilage in rhinoplasty. <b>Methods</b>: A structured review of the current literature (up to December 2023) was performed on four bibliographic databases: PubMed, EMBASE, Cochrane and Medline. The search terms were combinations of “Rhinoplasty” and “Cartilage Graft”, “Allograft” or “Fresh Frozen Cartilage”. The citations of selected studies and review articles were also evaluated if present. <b>Results</b>: The research resulted in 152 articles, and only ten met the inclusion criteria: nine clinical articles and one in vitro study. One of the ten eligible articles was excluded. <b>Conclusions</b>: Fresh frozen rib cartilage proved to be a viable alternative to autologous rib grafts and irradiated homologous rib graft. Despite the higher costs, FFRG can provide a sufficient amount of tissue for grafting avoiding donor site complications and reducing the operative time and proved to have more chondrocytes and to be less prone to resorption compared to irradiated rib.https://www.mdpi.com/2077-0383/13/6/1715rhinoplastyfresh frozen rib cartilagerib cartilage graftfacial plastic surgerydorsal augmentation |
| spellingShingle | Giovanni Salzano Giovanni Audino Giovanni Dell’Aversana Orabona Umberto Committeri Stefania Troise Antonio Arena Luigi Angelo Vaira Pietro De Luca Alfonso Scarpa Andrea Elefante Antonio Romano Luigi Califano Pasquale Piombino Fresh Frozen Homologous Rib Cartilage: A Narrative Review of a New Trend in Rhinoplasty Journal of Clinical Medicine rhinoplasty fresh frozen rib cartilage rib cartilage graft facial plastic surgery dorsal augmentation |
| title | Fresh Frozen Homologous Rib Cartilage: A Narrative Review of a New Trend in Rhinoplasty |
| title_full | Fresh Frozen Homologous Rib Cartilage: A Narrative Review of a New Trend in Rhinoplasty |
| title_fullStr | Fresh Frozen Homologous Rib Cartilage: A Narrative Review of a New Trend in Rhinoplasty |
| title_full_unstemmed | Fresh Frozen Homologous Rib Cartilage: A Narrative Review of a New Trend in Rhinoplasty |
| title_short | Fresh Frozen Homologous Rib Cartilage: A Narrative Review of a New Trend in Rhinoplasty |
| title_sort | fresh frozen homologous rib cartilage a narrative review of a new trend in rhinoplasty |
| topic | rhinoplasty fresh frozen rib cartilage rib cartilage graft facial plastic surgery dorsal augmentation |
| url | https://www.mdpi.com/2077-0383/13/6/1715 |
| work_keys_str_mv | AT giovannisalzano freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT giovanniaudino freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT giovannidellaversanaorabona freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT umbertocommitteri freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT stefaniatroise freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT antonioarena freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT luigiangelovaira freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT pietrodeluca freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT alfonsoscarpa freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT andreaelefante freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT antonioromano freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT luigicalifano freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty AT pasqualepiombino freshfrozenhomologousribcartilageanarrativereviewofanewtrendinrhinoplasty |