Abstract
Background: When there is insufficient septal cartilage graft for nasal reconstruction, current alternatives include the autologous costal cartilage (ACC) graft, irradiated homologous costal cartilage (IHCC) graft, and synthetic (alloplastic) polymer scaffolds. Newer alternatives such as hybrid bioactive-biocompatible polymer scaffolds and tissue-engineered cartilage grafts have also emerged. With the widespread use of alternative grafts in septorhinoplasty, multiple systematic reviews have analyzed their complication rates with varying results. This systematic review aims to summarize the current body of systematic reviews analyzing complication rates for ACC, IHCC, and alloplastic grafts in septorhinoplasty. In addition, it aims to provide an overview of the recent progress of newer grafts and potential avenues for future research.
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