Journal archive · Rib, ear and septal grafts · Outcomes, satisfaction and psychology · Complications and management · Anatomy and nasal analysis · 2026
Adverse Outcomes and Complications of Autologous Versus Homologous Costal Cartilage Grafts in Septorhinoplasty: A Systematic Review and Meta-analysis
Jullamusi W, Kowitwibool K, Mungmee A, Piyananthasomdee P.
In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on costal cartilage harvest, irradiated rib grafts.
From the abstract
“Costal cartilage is frequently used in rhinoplasty when septal cartilage is insufficient; however, comparative data across different processing methods remain limited. This systematic review and meta-analysis evaluated complication rates associated with autologous costal cartilage (ACC), irradiated homologous costal…”
Excerpt; the full abstract is on PubMed.
Citation
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Rib, ear and septal grafts
Modern rhinoplasty builds rather than removes, so the operation runs on cartilage: the septum first, then the ear, then the rib, and when none of those will do, a piece of donated rib from a tissue bank.
Outcomes, satisfaction and psychology
Rhinoplasty is measured with ten different questionnaires, none of which covers both the way the nose looks and the way it breathes, and the best-developed one has no airway questions at all.
Complications and management
Serious complications after rhinoplasty are rare: infection runs under 1% in the two largest single-surgeon series, pooled rib harvests record no pneumothorax, and the bleeding series record no thromboembolism.
Anatomy and nasal analysis
Before any technique is chosen, the nose has to be read: the bone measured, the cartilage counted, the skin assessed, and the result the patient wants agreed on a photograph that is not yet true.
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