Use of homologous costal cartilage in rhinoplasty

Abstract

This review specifically addresses the use of homologous costal cartilage in rhinoplasty with a particular focus on the related complications that can be encountered. It is important to stress that autologous cartilage is probably the preferred material for grafting in rhinoplasty. However, concerns of donor-site morbidity and extensive surgery have motivated the development and use of homologous costal cartilage. Because homologous costal cartilage is readily available, it has been widely used as an alternative to autologous costal cartilage when restoring nasal contour. Both favorable and unfavorable reports can be found in the literature, however, controversy still exists regarding the complications that can occur with using homologous cartilage as a graft material in rhinoplasty. Therefore, the aim of this review is to summarize the current understanding of the usefulness and the problems related with the use of homologous costal cartilage in rhinoplasty.