{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:58:38Z","timestamp":1791241118747,"version":"4.1.0"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Rib cartilage grafting is a popular procedure for rhinoplasty due to its advantages of zero foreign material involvement and minimal to near zero risk of skin perforation. However, there are some potential risks associated with this procedure, including warping and pneumothorax.<\/jats:p>\n                  <jats:p>Even though multiple studies have stated that the incidence rate of pneumothorax in rib graft harvest is very low, we cannot neglect its reality and probability of it happening. In this article, we highlight two rare cases of pneumothorax in rib cartilage graft rhinoplasty. The first case involved a pneumothorax that occurred during rib cartilage harvest in a 37-year-old woman. The second case involved a spontaneous pneumothorax that occurred immediately after rib cartilage rhinoplasty surgery in a 46-year-old woman.<\/jats:p>\n                  <jats:p>Both pneumothoraces were managed successfully with conservative observation and chest tube placement, respectively. The patients made a full recovery and were able to return to their normal activities. One of the potential risks of pneumothorax is the use of e-cigarettes or vaping. Vaping-associated spontaneous pneumothorax has been reported in only a handful of studies. These cases highlight the importance of being aware of the potential risks of rib cartilage graft rhinoplasty and taking steps to minimize and manage them.<\/jats:p>","DOI":"10.1055\/a-2819-3130","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T23:57:18Z","timestamp":1771977438000},"page":"474-477","source":"Crossref","is-referenced-by-count":0,"title":["Unmasking the Risk of Vaping-Associated Pneumothorax in Rib Cartilage Rhinoplasty"],"prefix":"10.1055","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7351-9768","authenticated-orcid":false,"given":"Beta S.","family":"Nata'atmadja","sequence":"additional","affiliation":[{"name":"Department of Plastic Reconstructive and Aesthetic Surgery, Faculty of Medicine, Airlangga University, Surabaya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4870-6057","authenticated-orcid":false,"given":"Pascalis","family":"Fabian","sequence":"additional","affiliation":[{"name":"General Practitioner, Faculty of Medicine, Airlangga University, Surabaya, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4802-0794","authenticated-orcid":false,"given":"Loelita M.","family":"Lumintang","sequence":"additional","affiliation":[{"name":"Department of Reconstructive and Aesthetic Plastic Surgery, Sanjiwani General Hospital, Faculty of Medicine, Universitas Warmadewa, Denpasar, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"993","DOI":"10.21037\/apm-22-111","article-title":"A systematic review and meta-analysis of the efficacy and complication rates of augmentation rhinoplasty with autologous cartilage and silicone prosthesis","volume":"11","author":"C Wu","year":"2022","journal-title":"Ann Palliat Med"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1007\/s00238-022-02028-y","article-title":"Use of auricular versus costal cartilaginous grafts for secondary rhinoplasty procedures: comparison of long-term outcomes","volume":"46","author":"M Barone","year":"2022","journal-title":"Eur J Plast Surg"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1093\/asj\/sju117","article-title":"Complications associated with the use of autologous costal cartilage in rhinoplasty: a systematic review","volume":"35","author":"K Varadharajan","year":"2015","journal-title":"Aesthet Surg J"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.drugalcdep.2014.12.007","article-title":"Dependence levels in users of electronic cigarettes, nicotine gums and tobacco cigarettes","volume":"147","author":"J F Etter","year":"2015","journal-title":"Drug Alcohol Depend"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"e28303","DOI":"10.2196\/28303","article-title":"e-Cigarette cessation: content analysis of a quit vaping community on reddit","volume":"23","author":"L Struik","year":"2021","journal-title":"J Med Internet Res"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1186\/s12889-021-10945-z","article-title":"Characterizing symptoms of e-cigarette dependence: a qualitative study of young adults","volume":"21","author":"K A Simpson","year":"2021","journal-title":"BMC Public Health"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1177\/00031348211048849","article-title":"The impact of vaping on primary spontaneous pneumothorax outcomes","volume":"89","author":"M Shah","year":"2023","journal-title":"Am Surg"},{"issue":"05","key":"ref8","doi-asserted-by":"crossref","first-page":"L705","DOI":"10.1152\/ajplung.00492.2018","article-title":"Fourth generation e-cigarette vaping induces transient lung inflammation and gas exchange disturbances: results from two randomized clinical trials","volume":"316","author":"M Chaumont","year":"2019","journal-title":"Am J Physiol Lung Cell Mol Physiol"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"L193","DOI":"10.1152\/ajplung.00071.2017","article-title":"Pulmonary toxicity of e-cigarettes","volume":"313","author":"L F Chun","year":"2017","journal-title":"Am J Physiol Lung Cell Mol Physiol"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"100447","DOI":"10.1016\/j.cophys.2021.06.001","article-title":"Acute and chronic effects of vaping electronic devices on lung physiology and inflammation","volume":"22","author":"J A Masso-Silva","year":"2021","journal-title":"Curr Opin Physiol"},{"issue":"11","key":"ref11","first-page":"e6067","article-title":"A case report of secondary spontaneous pneumothorax induced by Vape","volume":"11","author":"M Sharma","year":"2019","journal-title":"Cureus"},{"key":"ref12","first-page":"101535","article-title":"Vaping associated spontaneous pneumothorax\u2014a case series of an enigmatic entity!","volume":"34","author":"O Ashraf","year":"2021","journal-title":"Respir Med Case Rep"},{"issue":"12","key":"ref13","doi-asserted-by":"crossref","first-page":"e247844","DOI":"10.1136\/bcr-2021-247844","article-title":"Reporting of pneumothorax in association with vaping devices and electronic cigarettes","volume":"14","author":"D H Borchert","year":"2021","journal-title":"BMJ Case Rep"},{"issue":"10","key":"ref14","doi-asserted-by":"crossref","first-page":"2568","DOI":"10.1002\/ppul.26058","article-title":"Recurrent spontaneous pneumothorax in a 15-year-old female associated with electronic cigarettes","volume":"57","author":"S J Deskins","year":"2022","journal-title":"Pediatr Pulmonol"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1186\/s13256-019-2215-4","article-title":"Recurrent spontaneous pneumothoraces and vaping in an 18-year-old man: a case report and review of the literature","volume":"13","author":"A Bonilla","year":"2019","journal-title":"J Med Case Rep"}],"container-title":["Archives of Plastic 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