The Use of Auricular Cartilage Grafts in Septorhinoplasty: A Dual-Centre Study of Donor Site Patient-Reported Outcome Measures.
auricular
cartilage
grafts
reconstruction
rhinoplasty
septorhinoplasty
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
accepted:
27
06
2022
entrez:
8
8
2022
pubmed:
9
8
2022
medline:
9
8
2022
Statut:
epublish
Résumé
Objectives The use of autologous grafts is a key aspect of contemporary septorhinoplasty. When septal cartilage is deficient, auricular cartilage serves as a biocompatible, readily accessible alternative. Our study aimed to assess donor site patient-reported outcome measures (PROMs) where auricular cartilage has been harvested for use in septorhinoplasty, adding to the limited existing literature on this topic. Design A dual-centre, single-surgeon retrospective analysis of patients undergoing septorhinoplasty surgery with augmentation using auricular cartilage grafts was conducted. Grafts were harvested using an anterior anti-helical approach. Patients were followed up at one week, three months and 12 months post-operatively. Donor site outcomes were assessed across several physical and psychological domains by adapting the EAR-Q questionnaire, which was administered via telephone consultation. Responses were quantified using a Likert scale. Results A total of 22 patients met our inclusion criteria. Four were lost to follow-up, five were non-responders and one case was excluded due to documentation of body dysmorphic disorder. A significant proportion of patients reported no reduction in quality of life (QOL) or confidence attributed to donor site cosmesis. High satisfaction was noted with anti-helical donor site scars. Although noticeable differences in shape and symmetry were reported, these had negligible effects across psychological domains. Conclusions Preliminary results suggest high levels of patient satisfaction, with minimal physical and psychological donor site sequelae following auricular cartilage harvest in septorhinoplasty. Subsequent studies should involve the use of validated questionnaires, coupled with larger patient cohorts in order to provide further data for statistical analysis.
Identifiants
pubmed: 35936192
doi: 10.7759/cureus.26547
pmc: PMC9348432
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e26547Informations de copyright
Copyright © 2022, Kumar et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Indian J Otolaryngol Head Neck Surg. 2016 Sep;68(3):322-8
pubmed: 27508134
Plast Reconstr Surg. 2008 Jan;121(1):79-87
pubmed: 18176208
JAMA Facial Plast Surg. 2015 Jan-Feb;17(1):49-55
pubmed: 25429595
Plast Reconstr Surg Glob Open. 2018 Aug 07;6(8):e1842
pubmed: 30324053
Aesthet Surg J. 2012 Sep;32(7):833-45
pubmed: 22942111
J Plast Reconstr Aesthet Surg. 2017 Mar;70(3):416-424
pubmed: 28041938
Facial Plast Surg. 2019 Feb;35(1):103-108
pubmed: 30695789
World J Plast Surg. 2019 May;8(2):237-244
pubmed: 31309062
JAMA Facial Plast Surg. 2017 May 01;19(3):183-188
pubmed: 28334327
Otolaryngol Head Neck Surg. 2008 Feb;138(2):166-9
pubmed: 18241710
Acta Otorhinolaryngol Ital. 2013 Jun;33(3):183-9
pubmed: 23853414
Arch Plast Surg. 2016 Jan;43(1):46-52
pubmed: 26848445
Ear Nose Throat J. 2016 Aug;95(8):E14-7
pubmed: 27551847
J Plast Reconstr Aesthet Surg. 2007;60(2):188-94
pubmed: 17223517
Craniomaxillofac Trauma Reconstr. 2018 Dec;11(4):278-284
pubmed: 30574271