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Review
. 2022 Sep 1;150(3):675e-683e.
doi: 10.1097/PRS.0000000000009372. Epub 2022 Aug 30.

Optimizing the Use of Autografts, Allografts, and Alloplastic Materials in Rhinoplasty

Kevin Chen  1 , Benjamin D Schultz  1 , David Mattos  1 , Richard G Reish  1
Affiliations
Review

Optimizing the Use of Autografts, Allografts, and Alloplastic Materials in Rhinoplasty

Kevin Chen et al. Plast Reconstr Surg. .

Abstract

Learning objectives: After studying this article, the participant should be able to: 1. Understand the autologous graft options available to the rhinoplasty surgeon, including septal cartilage, auricular cartilage, costal cartilage, and bone. 2. Understand the autograft and allograft options available to the rhinoplasty surgeon, including cadaveric costal cartilage, silicone, Medpor, and Gore-Tex. 3. Identify the ideal situations to use each of these implant materials. 4. Understand the advantages and disadvantages of the different autografts, allografts, and implants in rhinoplasty.

Summary: This review focuses on the graft options available to the modern rhinoplasty surgeon. Autologous options are varied in the quality of cartilage harvested and the morbidity of the donor site. In addition, surgeons should understand the allograft options should autologous grafting be unfeasible or undesirable. New technological advances in processing of allograft cartilage makes this an attractive secondary option.

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References

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    1. Lee LN, Quatela O, Bhattacharyya N. The epidemiology of autologous tissue grafting in primary and revision rhinoplasty. Laryngoscope 2019;129:1549–1553.

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