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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
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and indicate if changes were made.

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