Evidence map›Paper›PMID 42677251›Full record

ArticleTurkish journal of medical sciences2026

Histomorphological changes in human septal cartilage stored in different preservation solutions.

Özlem Akkoca, Akif Sinan Bilgen, Harun Çoban, Fatma Aslan Yay, Zeynep Kaptan, Funda Balkiliç Akkaya, Rahmi Kiliç, Sami Engin Muz

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Article in Turkish journal of medical sciences, 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

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Özlem AkkocaDepartment of Otorhinolaryngology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-1030-3692
Akif Sinan BilgenDepartment of Otorhinolaryngology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-5532-2654
Harun ÇobanDepartment of Otorhinolaryngology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-3195-913X
Fatma Aslan YayDepartment of Pathology, University of Health Sciences, Sakarya Training and Research Hospital, Sakarya, Turkiye.ORCID https://orcid.org/0000-0002-9981-9117
Zeynep KaptanDepartment of Otorhinolaryngology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-8602-6505
Funda Balkiliç AkkayaDepartment of Otorhinolaryngology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-0259-9438
Rahmi KiliçDepartment of Otorhinolaryngology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-7946-9706
Sami Engin MuzDepartment of Otorhinolaryngology, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-4255-4939

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: To assess the histopathological effects of three preservation solutions (70% ethanol, povidone-iodine, and ciprofloxacin) on human septal cartilage obtained during septoplasty and to compare their preservation characteristics for potential future graft applications. Optimal preservation of septal cartilage is clinically important because well-preserved grafts may reduce the need for secondary cartilage harvesting and the associated donor-site morbidity while facilitating reconstructive procedures during revision surgery. Materials and methods: A total of 90 septal cartilage specimens obtained from 30 patients undergoing septoplasty were allocated to three preservation groups and stored in the designated preservation solutions at +4 °C. Samples were examined histologically on days 0, 15, and 30. The evaluated parameters included chondrocyte count/cellularity, the percentage of empty lacunae, chondrocyte morphology, erosion score, inflammation, and necrosis. Evaluations were blinded. Results: Progressive time-dependent histomorphological deterioration was observed in all preservation groups. From baseline to day 30, the ciprofloxacin group showed a greater reduction in chondrocyte count and a greater increase in the percentage of empty lacunae than the povidone-iodine group (adjusted p = 0.043 and p = 0.029, respectively). Although ethanol showed relatively favorable morphological findings at day 15, substantial deterioration was observed by day 30. Chondrocyte morphology and erosion scores also deteriorated over time. Inflammation and necrosis remained minimal across all groups. Conclusion: All tested preservation solutions were associated with progressive, time-dependent histomorphological deterioration of septal cartilage. No single preservation solution demonstrated consistently superior preservation across all evaluated histopathological parameters. Further biomechanical and biochemical studies are required to establish optimal cartilage preservation protocols.

Indexed as

Nasal CartilagesNasal SeptumOrgan Preservation SolutionsAdultChondrocytesCiprofloxacinEthanolFemaleHumansMalePovidone-IodineCiprofloxacinEthanolOrgan Preservation SolutionsPovidone-IodineCartilagechondrocytesethanolhistomorphologypovidone-iodinetissue preservation

Identifiers

PMID42677251
PMCPMC13528751

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