Evidence map›Paper›PMID 41612064›Full record

ArticleAesthetic plastic surgery2026

The Effect of Platelet-Rich Fibrin on Block, Crushed and Diced Cartilage.

Ahmet Kirazoglu, Eray Metin Guler, Emine Rumeysa Hekimoglu, Mukaddes Esrefoglu, Kubra Bozali, Halil Ibrahim Canter, Kemalettin Yıldız

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Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

7 authors.

Ahmet KirazogluDepartment of Plastic, Reconstructive and Aesthetic Surgery, Florya Hospital, Gümüşpala Mh. İskeçe Cd. No: 64, Avcilar, Istanbul, Turkey. kirazogluahmet@gmail.com.ORCID 0000-0002-4402-6574
Eray Metin GulerDepartment of Medical Biochemistry, Hamidiye Institute of Health Sciences, University of Health Sciences Turkey, Uskudar, Istanbul, Turkey.
Emine Rumeysa HekimogluDepartment of Histology and Embryology, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.
Mukaddes EsrefogluDepartment of Histology and Embryology, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.
Kubra BozaliDepartment of Medical Biochemistry, Hamidiye Institute of Health Sciences, University of Health Sciences Turkey, Uskudar, Istanbul, Turkey.
Halil Ibrahim CanterDepartment of Plastic, Reconstructive and Aesthetic Surgery, Istinye University, Istanbul, Turkey.
Kemalettin YıldızDepartment of Plastic Reconstructive and Aesthetic Surgery, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.

Funding

Bezmialem Vakıf Üniversitesi 20221002Türkiye Bilimsel ve Teknolojik Araştırma Kurumu 222S782
6 · The paper itself

Abstract

backgroundIn nasal surgery, autologous cartilage grafts are routinely used to correct structural weakness, contour deformities, and irregularities, yet current techniques still face challenges related to long-term cartilage graft viability and resorption. Platelet-rich fibrin (PRF) is a second-generation platelet concentrate that may improve graft survival through its sustained release of bioactive molecules within a natural fibrin matrix.

objectiveTo evaluate the biochemical and histopathological effects of combining PRF with autologous cartilage grafts of different forms (block, crushed, and diced) in a rabbit model and to determine which combination provides optimal cartilage viability and matrix stability.

methodsTwenty-four New Zealand rabbits divided into six groups based on their form: block, crushed, and diced. PRF was applied to three groups, while the remaining three served as controls. The grafts were placed in subcutaneous pockets on the rabbits' backs and harvested after 8 weeks for histopathological and biochemical analyses. Cartilage tissues, growth factors, matrix components, angiogenesis, oxidative stress, and apoptosis markers were evaluated.

resultsPRF-treated groups demonstrated significantly higher growth factor levels, antioxidant status, lower oxidative stress and apoptosis markers compared with controls (p < 0.05). Histological analyses showed better cellular proliferation and extracellular matrix preservation, particularly in PRF-combined diced and block cartilage grafts, whereas crushed cartilage exhibited marked degeneration.

conclusionPRF enhanced the viability, proliferation, and angiogenic response of autologous cartilage grafts through its sustained release of growth factors and scaffold-like fibrin matrix. These findings suggest that PRF may improve graft stability and reduce postoperative complications in nasal surgery. NO LEVEL ASSIGNED: This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

CartilageNasal CartilagesPlatelet-Rich FibrinRhinoplastyAnimalsGraft SurvivalRabbitsTransplantation, AutologousAutologous cartilage graftPlatelet-rich fibrinPRFRhinoplasty

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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.