Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-28T08:59:56.275Z Has data issue: false hasContentIssue false
  • English
  • Français

Donor site morbidities resulting from conchal cartilage harvesting in rhinoplasty

Published online by Cambridge University Press:  20 March 2017

M Y Lan ,
J P Park  and
Y J Jang
M Y Lan
Affiliation:
Department of Otolaryngology, Taipei Veterans General Hospital, Taipei, Taiwan School of Medicine, National Yang-Ming University, Taipei, Taiwan
J P Park
Affiliation:
Department of Otorhinolaryngology, Asan Medical Centre, Seoul, South Korea College of Medicine, University of Ulsan, Seoul, South Korea
Y J Jang*
Affiliation:
Department of Otorhinolaryngology, Asan Medical Centre, Seoul, South Korea College of Medicine, University of Ulsan, Seoul, South Korea
*
Address for correspondence: Dr Yong Ju Jang, Department of Otorhinolaryngology, Asan Medical Centre, University of Ulsan, College of Medicine, 88 Olympic-ro 43-gil, Songpagu, Seoul 138-736, South Korea E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

Conchal cartilage is frequently used in rhinoplasty, but donor site morbidity data are seldom reported. This study aimed to investigate the complications of conchal cartilage harvesting in rhinoplasty.

Methods:

A retrospective chart review of 372 patients who underwent conchal cartilage harvesting for rhinoplasty was conducted. Data regarding patient demographics, types of nasal deformities, graft usage and complications were analysed.

Results:

A total of 372 patients who underwent conchal cartilage harvesting for rhinoplasty were enrolled. The harvested conchal cartilage tissues were used in a variety of applications: tip graft, dorsal graft, septal reinforcement and correction of nostril asymmetry. Nine cases (2.4 per cent) with donor site morbidities were identified, including four cases (1.1 per cent) with keloids and five cases (1.3 per cent) with haematomas.

Conclusion:

Conchal cartilage harvesting is a safe and useful technique for rhinoplasty, with a low complication rate. However, patients should be informed about the possibility of donor site morbidities such as keloids and haematomas.

Keywords

Conchal CartilageKeloidHematomaRhinoplastyMorbidity
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 6 , June 2017 , pp. 529 - 533
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Lovice, DB, Mingrone, MD, Toriumi, DM. Grafts and implants in rhinoplasty and nasal reconstruction. Otolaryngol Clin North Am 1999;32:113–41Google Scholar
2 Sajjadian, A, Rubinstein, R, Naghshineh, N. Current status of grafts and implants in rhinoplasty: Part I. Autologous grafts. Plast Reconstr Surg 2010;125:40e–49e Google Scholar
3 Grobbelaar, AO, Matti, BA, Nicolle, FV. Donor site morbidity post-conchal cartilage grafting. Aesthetic Plast Surg 1997;21:90–2CrossRefGoogle ScholarPubMed
4 Wright, ST, Calhoun, KH, Decherd, M, Quinn, FB. Conchal cartilage harvest: donor site morbidities, patient satisfaction, and cosmetic outcomes. Arch Facial Plast Surg 2007;9:298–9Google Scholar
5 Boccieri, A, Marano, A. The conchal cartilage graft in nasal reconstruction. J Plast Reconstr Aesthet Surg 2007;60:188–94CrossRefGoogle ScholarPubMed
6 Mowlavi, A, Pham, S, Wilhelmi, B, Masouem, S, Guyuron, B. Anatomical characteristics of the conchal cartilage with suggested clinical applications in rhinoplasty surgery. Aesthet Surg J 2010;30:522–6CrossRefGoogle ScholarPubMed
7 Han, K, Kim, J, Son, D, Park, B. How to harvest the maximal amount of conchal cartilage grafts. J Plast Reconstr Aesthet Surg 2008;61:1465–71CrossRefGoogle ScholarPubMed
8 Jang, YJ. Conchal cartilage. In: Jang, YJ, ed. Rhinoplasty and Septoplasty. Seoul: Koonja Publishing, 2014;171–82Google Scholar
9 Jovanovic, S, Berghaus, A. Autogenous auricular concha cartilage transplant in corrective rhinoplasty. Practical hints and critical remarks. Rhinology 1991;29:273–9Google Scholar
10 Boccieri, A. Subtotal reconstruction of the nasal septum using a conchal reshaped graft. Ann Plast Surg 2004;53:118–25Google Scholar
11 Adams, WM. Construction of upper half of auricle utilizing composite concha cartilage graft with perichondrium attached on both sides. Plast Reconstr Surg (1946) 1955;16:88–96 Google Scholar
12 Falces, E, Gorney, M. Use of ear cartilage grafts for nasal tip reconstruction. Plast Reconstr Surg 1972;50:147–52Google Scholar
13 Song, C. Hypertrophic scars and keloids in surgery: current concepts. Ann Plast Surg 2014;7(suppl 1):S108–18 Google Scholar
14 Park, TH, Park, JH, Kim, JK, Seo, SW, Rah, DK, Chang, CH. Analysis of 15 cases of auricular keloids following conchal cartilage grafts in an Asian population. Aesthetic Plast Surg 2013;37:102–5Google Scholar
15 Erol, OO. New modification in otoplasty: anterior approach. Plast Reconstr Surg 2001;107:193–202; discussion 3–5CrossRefGoogle ScholarPubMed
16 Furnas, DW. Correction of prominent ears by conchamastoid sutures. Plast Reconstr Surg 1968;42:189–93Google Scholar
17 Cosman, B, Wolff, M. Bilateral earlobe keloids. Plast Reconstr Surg 1974;53:540–3Google Scholar
18 Naylor, MC, Brissett, AE. Current concepts in the etiology and treatment of keloids. Facial Plast Surg 2012;28:504–12Google Scholar