A Data Base Research on Evaluation on Stability in Rhinoplasty using Septal Graft or Costochondral Graft Systematic Review & Meta Analysis

Abstract

Introduction: Augmentation rhinoplasty requires adding cartilage to provide enhanced support to the structure of the nose. Autologous costal cartilage and irradiated homologous costal cartilage (IHCC) are well-accepted rhinoplasty options. Hence in the present study we aim to evaluate thestability in Rhinoplasty using septal graft from the online data search.

Material and methods: Online data was collected from the search engines of EBSCO, Pubmed, Google Scholar, Scopus.  The searched terms were septorhinoplasty, rhinoplasty, autologous costal cartilage graft, cadaveric cartilage graft, and rib graft.etc. The study articles were collected. Based on the PRISMA guidelines the meta analysis was performed.

Results:  From a total of 575, 28 studies were finalized. Our search captured 1041 patients of whom 741 received autologous grafts and 293 received IHCC grafts (regardless of type). When autologous cartilage vs IHCC vsTutoplast cartilage grafts were compared, no difference in the stability that was measured through various parameters were found.

Conclusions: Similar results were seen for stability in the various types of septal graft or costal cartilage grafts. En bloc dorsal onlay grafts are commonly used in augmentation rhinoplasty to provide contour and structure to the nasal dorsum.