Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Volume and Weight Changes of Autologous Costal Cartilage Grafts with and without Perichondrium in Human

사람에서의 연골막 유무에 따른 자가늑연골이식의 부피 및 무게 변화

  • Park, Jae Hee (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Im, So Young (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Suk Han (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Mun, Goo Hyun (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hyon, Won Sok (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Bang, Sa Ik (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Oh, Kap Sung (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 박재희 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) ;
  • 임소영 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) ;
  • 김석한 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) ;
  • 문구현 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) ;
  • 현원석 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) ;
  • 방사익 (성균관대학교 의과대학 삼성서울병원 성형외과학교실) ;
  • 오갑성 (성균관대학교 의과대학 삼성서울병원 성형외과학교실)
  • Received : 2005.03.30
  • Published : 2005.07.10
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Abstract

Autologous cartilage grafts have become an integral part of aesthetic and reconstructive plastic surgery. However, little objective information is available about the actual quantitative resorption of cartilage in human. This study sought to objectively quantify and compare the resorption of costal cartilage in human. To compare the resorption characteristics of rib cartilage autografts, we harvested rib cartilage grafts from 37 microtia patients. All autografts were implanted subcutaneously on chest and then removed after 6 to 17 months. Graft mass and volume were compared before and after implantion. Rib cartilage grafts with perichondrium averaged $10.8{\pm}7.4%$ resorption by volume, On the other hand rib cartilage grafts without perichondrium $25.5{\pm}6.8%$. There was no evidence of necrosis or inflammatory changes. The rib cartilage is the preferred source of autogenous cartilage for auricular reconstruction. Short-term resorption of rib cartilage without perichondrium appears to be higher than with perichondrium. The low resorption of cartilage with perichondrium may be due to in part to cartilage forming capacity of the perichondrium. It remains to be seen whether these differences in resorption persist in the long term.

Keywords

References

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