Evidence map›Paper›PMID 39833811›Full record

SynthesisHead & face medicine2025

A comprehensive overview of FFRG and IHCC allograft cartilages in revision rhinoplasty: a systematic review.

Mahtab Hosseini, Seied Omid Keyhan

Abstract readSystematic Review
In one paragraph

Synthesis in Head & face medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Mahtab HosseiniCommunity Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, No. Unit 7, Diba Complex, Mehraein Alley, 17 Shahrivar Alley, Khademi Intersection, Bahonar St, Isfahan, 8138768117, Iran. mahtabhosseini@khuisf.ac.ir.
Seied Omid KeyhanCollege of Dentistry, Department of Oral & Maxillofacial Surgery, Gangneung-Wonju National University, Gangneung, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to compare the complications and satisfaction associated with favorable allografts, Fresh Frozen Rib Graft (FFRG) and Irradiated Homologous Costal Cartilage (IHCC), in revision rhinoplasty.

methodsThe PRISMA guidelines were adhered to in the conduct of this systematic review. No limitations were applied to the types of studies included. Studies in English were selected without any time limitations. Five databases, PubMed/Medline, Cochrane Library, Embase, Scopus, Google Scholar, and also, the reference lists of included studies were searched. The ROBINS-I was employed for risk of bias assessment. Patients who underwent revision rhinoplasty utilizing allografts (FFRG and IHCC) were considered.

resultsThe initial search yielded a total of 503 studies. After duplicate removal and paper screening, 7 studies were included. A total of 406 patients for FFRG and 66 patients for IHCC who underwent revision rhinoplasty with the use of FFRG and IHCC were incorporated. Various complications were assessed, including warping, infective/noninfective resorption, infection, extrusion/displacement, and other less common occurrences. The overall complication rates were 9.25% and 15.7% for FFRG and IHCC, respectively. The main complication associated with the two was infection. Notably, both FFRG and IHCC demonstrated significant improvements in patient satisfaction following revision surgery across all subjected studies.

conclusionBased on this review, FFRGs present a lower rate of complications in comparison with IHCCs. However, the biocompatibility makes the autologous rib cartilage the gold standard graft, but in case of donor site limitations to harvesting, FFRG and IHCC would be a safe and reliable alternative.

Indexed as

AllograftsCartilageCostal CartilageRhinoplastyRibsHumansPatient SatisfactionPostoperative ComplicationsReoperationTransplantation, HomologousAllograftsCostal cartilageFresh frozenIrradiatedRevision surgeryRhinoplasty

Identifiers

PMID39833811
PMCPMC11744856

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.