Hostname: page-component-6766d58669-76mfw Total loading time: 0 Render date: 2026-05-18T14:45:15.889Z Has data issue: false hasContentIssue false
  • English
  • Français

Influence of the mode of preparation on the distortion and consistency of homologous costal cartilage implants

Published online by Cambridge University Press:  29 June 2007

P. Adlington ,
A. J. Anscombe  and
J. B. Joshi
P. Adlington*
Affiliation:
Consultant ENT Surgeon, Bournemouth
A. J. Anscombe
Affiliation:
Consultant Pathologist, West Dorset Group of Hospitals
J. B. Joshi
Affiliation:
Registrar. ENT Department, Bournemouth.
*
Mr Peter Adlington, 65 Lansdowne Road, Bournemouth BH1 1RN.
Get access Rights & Permissions [Opens in a new window]

Abstract

Nasal implants of autologous costal cartilage have an undesirable tendency to distortion. This tendency may be reduced by the process of devitalization, which occurs in the preparation of homologous costal cartilage for storage in a tissue bank. An in vitro study has been undertaken, utilizing five common methods of cartilage preparation (cialit, ethyl alcohol, formalin, glutaraldehyde and irradiation) to determine whether there is any significant variation in the degree of distortion which occurred and any variation in cartilage consistency. We conclude that all of the methods evaluated would produce banked homologous costal cartilage with an equally low incidence of distortion but implants are less readily carved from cartilage stored in cialit.

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 6 , June 1989 , pp. 572 - 576
Copyright
Copyright © JLO (1984) Limited 1989

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Babin, R. W., Ryu, J. H., Gantz, B. J. and Maynard, J. A. (1982) Survival of implanted cartilage. Otolaryngology-Head and Neck Surgery, 90: 75–80.CrossRefGoogle Scholar
Barker, H., Oliver, R., Grant, R. and Stephen, L. (1980) Formaldehyde as a pretreatment for dermal collagen heterografts. Biochemical and Biophysical Acta. 632: 589–597.CrossRefGoogle Scholar
Beekhuis, G. J. (1974) Saddle nose deformity, Laryngoscope, 84: 2–42.Google Scholar
Brown, J. B. (1940) Preserved and fresh homotransplants of cartilage. Surgery, Gynecology and Obstetrics, 70: 1079–1082.Google Scholar
Cox, R. W., Grant, R. A. and Kent, C. M. (1973). An electron microscopic study of the reaction of collagen with some monoaldehydes and bifunctional aldehydes. Journal of Cell Science, 12: 933–949.CrossRefGoogle ScholarPubMed
Donald, P. J. and Col, A. (1982) Cartilage implantation in head and neck surgery. Report of a national survey. Otolaryngology-Head and Neck Surgery, 90: 85–89.CrossRefGoogle ScholarPubMed
Edwards, H. E., Moore, J. S. and Phillips, G. O. (1978) Effects of ionizing irradiation on human costal cartilage and exploration of procedures to protect tissues from radiation damage. Histochemical Journal, 10: 389–398.Google Scholar
Farrior, R. T. (1966) Implant materials in the restoration of facial contour. Laryngoscope, 76: 934–954.CrossRefGoogle ScholarPubMed
Gibson, T., Davis, W. B. and Curran, R. C. (1958) The long term survival of cartilage homografts in man. British Journal of Plastic Surgery, 11: 177–186.CrossRefGoogle Scholar
Gibson, T. and Davis, W. B. (1958) Distortion of autogenous cartilage grafts. British Journal of Plastic Surgery, 10: 257–274.CrossRefGoogle Scholar
Glasscock, M. F. III, Jackson, C. G. and Know, G. W. (1988) Can AIDS and Creutzfeldt-Jacob Disease be transmitted in otolgic grafts? Archives of Otolaryngology, 113: 1252–1255.CrossRefGoogle Scholar
Hellmich, S. (1974) Der Einfluss unterschiedlicher Konservierungsmethoden auf die biologische Qualitat von Knorpelimplantaten. Laryngologie und Rhinologie 53: 711–717.Google Scholar
McGlynn, M. J. and Sharpe, D. T. (1981) Cialit preserved homograft cartilage in nasal augmentation: a long term review. British Journal of Plastic Surgery, 34: 53–57.Google Scholar
Muhlbauer, W. D., Schmidt-Tintemann, U. and Glaser, M. (1971) Long term behaviour of preserved homologous rib cartilage in the correction of saddle nose deformity. British Journal of Plastic Surgery, 24: 325–333.CrossRefGoogle ScholarPubMed
New, G. B. and Erich, J. B. (1941) Method to prevent fresh autogenous cartilage from warping. American Journal of Plastic Surgery, 54: 435–440.Google Scholar
Peer, L. A. (1955) The Transplantation of Tissues. Williams and Wilkins Company. Baltimore. p. 110.Google Scholar
Rasi, H. B. (1959) The fate of preserved human cartilage. Plastic and Reconstructive in Surgery, 28: 562–566.Google Scholar
Schofield, A. L. (1953) A preliminary report on the use of preserved homogenous costal cartilage implants. British Journal of Plastic Surgery, 6: 26–40.CrossRefGoogle Scholar
Schuller, D. E., Bardach, J. and Krause, C. J. (1977) Irradiated homologous costal cartilage for facial contour restoration. Archives of Otolaryngology, 103; 12–15.CrossRefGoogle ScholarPubMed
Straith, C. L. and Slaughter, W. B. (1941). Grafts of preserved cartilage in the restoration of facial contour. Journal of the American Medical Association, 116: 2008–2013.CrossRefGoogle Scholar
Welling, D. B., Maves, M. D., Schuller, D. E. and Bardach, J. (1988) Irradiated homologous cartilage grafts. Archives of Otolaryngology, 114: 291–295.CrossRefGoogle ScholarPubMed