Predictive Factors and Mitigation Strategies for Direct Warping in Rib-Cartilage Grafts: A Comprehensive Literature Review

Matthew Reinhart Bryce Lee1, Beta Subakti Nata’atmadja2*

Abstract

Rhinoplasty stands as one of the most technically demanding procedures in facial plastic surgery, with costal cartilage grafts (CCGs) serving as essential structural components. Despite their widespread use, these grafts frequently encounter the challenge of direct warping—an immediate deformation occurring upon exposure to saline solution during surgery. This comprehensive review examines the multifaceted factors that influence direct warping, analysing both intrinsic variables such as age and genetic predisposition, and extrinsic factors including nutritional status and lifestyle choices. Through systematic analysis of current literature and clinical data, this study reveals significant correlations between regular vitamin supplementation and reduced warping risk, while identifying modifiable risk factors such as smoking and alcohol consumption that increase susceptibility to graft deformation [1].

Keywords

rhinoplasty; costal cartilage grafts; direct warping; predictive factors; vitamin C; vitamin D; cartilage stability; smoking; alcohol consumption; revision surgery.

Cite This Article

Lee, M. R. B., Nata’atmadja, B. S. (2024). Predictive Factors and Mitigation Strategies for Direct Warping in Rib-Cartilage Grafts: A Comprehensive Literature Review. International Journal of Scientific Advances (IJSCIA), Volume 5| Issue 6: Nov-Dec 2024, Pages 1710-1714, URL: https://www.ijscia.com/wp-content/uploads/2024/12/Volume5-Issue6-Nov-Dec-No.794-1710-1714.pdf

Volume 5 | Issue 6: Nov – Dec 2024