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Zheng et al. Plast Aesthet Res 2019;6:2                                      Plastic and
               DOI: 10.20517/2347-9264.2018.76                                   Aesthetic Research




               Review                                                                                 Open Access


               Use of homologous costal cartilage in rhinoplasty


               Tao Zheng , Yong Ju Jang 2
                        1
               1 Department of Otolaryngology Head & Neck Surgery, Hanyang University Medical Center, College of Medicine, Hanyang University, Seoul
               04763, South Korea.
               2 Department of Otolaryngology Head & Neck Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul 05505, South
               Korea.


               Correspondence to: Prof. Yong Ju Jang, Department of Otolaryngology Head & Neck Surgery, Asan Medical Center, University of Ulsan,
               College of Medicine, No. 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea. E-mail: 3712yjang@gmail.com

               How to cite this article: Zheng T, Jang YJ. Use of homologous costal cartilage in rhinoplasty. Plast Aesthet Res 2019;6:2.
               http://dx.doi.org/10.20517/2347-9264.2018.76

               Received: 5 Nov 2018    First Decision: 24 Nov 2018    Revised: 2 Jan 2019    Accepted: 11 Jan 2019     Published: 24 Jan 2019

               Science Editor: Hong Ryul Jin    Copy Editor: Cai-Hong Wang    Production Editor: Huan-Liang Wu



               Abstract

               This review specifically addresses the use of homologous costal cartilage in rhinoplasty with a particular focus on the
               related complications that can be encountered. It is important to stress that autologous cartilage is probably the preferred
               material for grafting in rhinoplasty. However, concerns of donor-site morbidity and extensive surgery have motivated
               the development and use of homologous costal cartilage. Because homologous costal cartilage is readily available, it
               has been widely used as an alternative to autologous costal cartilage when restoring nasal contour. Both favorable and
               unfavorable reports can be found in the literature, however, controversy still exists regarding the complications that
               can occur with using homologous cartilage as a graft material in rhinoplasty. Therefore, the aim of this review is to
               summarize the current understanding of the usefulness and the problems related with the use of homologous costal
               cartilage in rhinoplasty.

               Keywords: Rhinoplasty, homologous cartilage, processed cartilage, irradiated cartilage, preserved cartilage




               INTRODUCTION
               In rhinoplasty, surgeons often need ample graft material for septal reconstruction, dorsal augmentation, and
               tip surgery. Autologous costal cartilage is a preferred source of graft material, especially in Asian patients,
                                                             [1]
               as it provides cartilage of enough quantity and quality . Theoretically, when it is needed, using autologous
               costal cartilage is the most ideal surgical strategy. However, autologous costal cartilage may be difficult

                           © The Author(s) 2019. Open Access This article is licensed under a Creative Commons Attribution 4.0
                           International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
                sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
                as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
                and indicate if changes were made.


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