Wang Qian, Liu Jing, Chen Zhixing
Department of Burns and Plastic Surgery, The West China Hospital of Sichuan University, Chengdu, 610041, Sichuan Province, China.
, No.37, Guoxue Lane, Yulin Street, Wuhou District, Chengdu city, 610041, Sichuan Province, China.
BMC Surg. 2025 Jul 22;25(1):314. doi: 10.1186/s12893-025-03022-4.
Rib cartilage rhinoplasty has emerged as a preferred surgical approach for complex nasal reconstructions due to its structural integrity, versatility, and long-term stability. This systematic review and meta-analysis evaluates the complication rates and patient satisfaction outcomes associated with rib cartilage rhinoplasty to provide a comprehensive assessment of its safety and efficacy.
A systematic search was conducted across PubMed, Google Scholar, and the Cochrane Library to identify relevant studies. Inclusion criteria were original studies reporting complication rates or patient satisfaction following rib cartilage rhinoplasty with a minimum follow-up of six months. Data synthesis was performed using a random-effects model, and heterogeneity was assessed using the I² statistic. Forest plots and funnel plots were generated to summarize findings and evaluate publication bias.
A total of six studies were included, comprising 888 patients. The pooled complication rate was 7% (95% CI: 5–9%) under the fixed-effects model and 8% (95% CI: 3–20%) under the random-effects model, with substantial heterogeneity (I² = 79.3%, = 0.0002). Complications were predominantly minor, including infection, warping, and graft displacement. Patient satisfaction rates were consistently high, with a pooled proportion of 92% (95% CI: 90–94%) under the fixed-effects model and 89% (95% CI: 60–98%) under the random-effects model. Significant heterogeneity was observed (I² = 86%, < 0.0001). Funnel plots indicated potential publication bias, particularly in studies reporting patient satisfaction.
Rib cartilage rhinoplasty demonstrates a favorable safety profile and high patient satisfaction, making it a reliable option for complex nasal reconstructions. The low complication rates, combined with excellent aesthetic and functional outcomes, underscore the efficacy of this technique.
肋软骨隆鼻术因其结构完整性、多功能性和长期稳定性，已成为复杂鼻整形手术的首选手术方法。本系统评价和荟萃分析评估了肋软骨隆鼻术的并发症发生率和患者满意度，以全面评估其安全性和有效性。
在PubMed、谷歌学术和考克兰图书馆进行系统检索，以确定相关研究。纳入标准为报告肋软骨隆鼻术后并发症发生率或患者满意度且随访至少6个月的原始研究。采用随机效应模型进行数据合成，并使用I²统计量评估异质性。生成森林图和漏斗图以总结研究结果并评估发表偏倚。
共纳入6项研究，涉及888例患者。固定效应模型下的合并并发症发生率为7%（95%置信区间：5%-9%），随机效应模型下为8%（95%置信区间：3%-20%），存在显著异质性（I²=79.3%，P=0.0002）。并发症主要为轻微并发症，包括感染、变形和移植物移位。患者满意度一直很高，固定效应模型下的合并比例为92%（95%置信区间：90%-94%），随机效应模型下为89%（95%置信区间：60%-98%）。观察到显著异质性（I²=86%，P<0.0001）。漏斗图表明存在潜在的发表偏倚，尤其是在报告患者满意度的研究中。
肋软骨隆鼻术显示出良好的安全性和较高的患者满意度，使其成为复杂鼻整形手术的可靠选择。低并发症发生率与出色的美学和功能效果相结合，凸显了该技术的有效性。
