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Donor site morbidities resulting from conchal cartilage harvesting in rhinoplasty

  • M Y Lan (a1) (a2), J P Park (a3) (a4) and Y J Jang (a3) (a4)



Conchal cartilage is frequently used in rhinoplasty, but donor site morbidity data are seldom reported. This study aimed to investigate the complications of conchal cartilage harvesting in rhinoplasty.


A retrospective chart review of 372 patients who underwent conchal cartilage harvesting for rhinoplasty was conducted. Data regarding patient demographics, types of nasal deformities, graft usage and complications were analysed.


A total of 372 patients who underwent conchal cartilage harvesting for rhinoplasty were enrolled. The harvested conchal cartilage tissues were used in a variety of applications: tip graft, dorsal graft, septal reinforcement and correction of nostril asymmetry. Nine cases (2.4 per cent) with donor site morbidities were identified, including four cases (1.1 per cent) with keloids and five cases (1.3 per cent) with haematomas.


Conchal cartilage harvesting is a safe and useful technique for rhinoplasty, with a low complication rate. However, patients should be informed about the possibility of donor site morbidities such as keloids and haematomas.


Corresponding author

Address for correspondence: Dr Yong Ju Jang, Department of Otorhinolaryngology, Asan Medical Centre, University of Ulsan, College of Medicine, 88 Olympic-ro 43-gil, Songpagu, Seoul 138-736, South Korea E-mail:


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1 Lovice, DB, Mingrone, MD, Toriumi, DM. Grafts and implants in rhinoplasty and nasal reconstruction. Otolaryngol Clin North Am 1999;32:113–41
2 Sajjadian, A, Rubinstein, R, Naghshineh, N. Current status of grafts and implants in rhinoplasty: Part I. Autologous grafts. Plast Reconstr Surg 2010;125:40e49e
3 Grobbelaar, AO, Matti, BA, Nicolle, FV. Donor site morbidity post-conchal cartilage grafting. Aesthetic Plast Surg 1997;21:90–2
4 Wright, ST, Calhoun, KH, Decherd, M, Quinn, FB. Conchal cartilage harvest: donor site morbidities, patient satisfaction, and cosmetic outcomes. Arch Facial Plast Surg 2007;9:298–9
5 Boccieri, A, Marano, A. The conchal cartilage graft in nasal reconstruction. J Plast Reconstr Aesthet Surg 2007;60:188–94
6 Mowlavi, A, Pham, S, Wilhelmi, B, Masouem, S, Guyuron, B. Anatomical characteristics of the conchal cartilage with suggested clinical applications in rhinoplasty surgery. Aesthet Surg J 2010;30:522–6
7 Han, K, Kim, J, Son, D, Park, B. How to harvest the maximal amount of conchal cartilage grafts. J Plast Reconstr Aesthet Surg 2008;61:1465–71
8 Jang, YJ. Conchal cartilage. In: Jang, YJ, ed. Rhinoplasty and Septoplasty. Seoul: Koonja Publishing, 2014;171–82
9 Jovanovic, S, Berghaus, A. Autogenous auricular concha cartilage transplant in corrective rhinoplasty. Practical hints and critical remarks. Rhinology 1991;29:273–9
10 Boccieri, A. Subtotal reconstruction of the nasal septum using a conchal reshaped graft. Ann Plast Surg 2004;53:118–25
11 Adams, WM. Construction of upper half of auricle utilizing composite concha cartilage graft with perichondrium attached on both sides. Plast Reconstr Surg (1946) 1955;16:8896
12 Falces, E, Gorney, M. Use of ear cartilage grafts for nasal tip reconstruction. Plast Reconstr Surg 1972;50:147–52
13 Song, C. Hypertrophic scars and keloids in surgery: current concepts. Ann Plast Surg 2014;7(suppl 1):S10818
14 Park, TH, Park, JH, Kim, JK, Seo, SW, Rah, DK, Chang, CH. Analysis of 15 cases of auricular keloids following conchal cartilage grafts in an Asian population. Aesthetic Plast Surg 2013;37:102–5
15 Erol, OO. New modification in otoplasty: anterior approach. Plast Reconstr Surg 2001;107:193202; discussion 3–5
16 Furnas, DW. Correction of prominent ears by conchamastoid sutures. Plast Reconstr Surg 1968;42:189–93
17 Cosman, B, Wolff, M. Bilateral earlobe keloids. Plast Reconstr Surg 1974;53:540–3
18 Naylor, MC, Brissett, AE. Current concepts in the etiology and treatment of keloids. Facial Plast Surg 2012;28:504–12
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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