{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T01:21:58Z","timestamp":1782177718081,"version":"3.54.5"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2020,1,21]],"date-time":"2020-01-21T00:00:00Z","timestamp":1579564800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100012487","name":"Interdisciplinary Medicine Seed Fund of Peking University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012487","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The traditional approach of harvesting costal cartilage through a chest wall incision can result in significant donor-site morbidity and usually causes notable scars in Asian patients. This has become the main concern for Asian females seeking rhinoplasty with autologous costal cartilage.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The aim of this study was to investigate the donor-site morbidity of the trans-areola approach for costal cartilage harvest in Asian rhinoplasty and to compare it with the traditional approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Patients\u2019 records were reviewed to determine whether their rhinoplasties had been performed with either the trans-areola or the traditional approach to costal cartilage harvest. Donor-site morbidity was evaluated 1 year postoperatively via a visual analog scale and the Modified Vancouver Scar Scale. Long-term complications of the trans-areola group were assessed at least 6 months after surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There were 26 females in the trans-areola group and 35 females in the traditional group; both groups were of similar age and body mass index range. Compared with the traditional group, the trans-areola group had a significantly longer surgery time and a higher pneumothorax rate (7.7% vs 2.9%) but a significantly better scar quality and a higher overall satisfaction. Long-term outcomes and complications of the trans-areola group included significant scars (2\/26, 7.7%), concavity of the breast (1\/26, 3.8%), and local chest pain\/discomfort (1\/26, 3.8%).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Compared with the traditional approach to harvesting costal cartilage in Asian rhinoplasty, patients who underwent the trans-areola approach had less overall donor-site morbidity and higher overall satisfaction. We recommend this technique to patients who meet the inclusion criteria as well as those seeking a better cosmetic outcome.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Level of Evidence: 4<\/jats:title>\n                  <jats:p\/>\n               <\/jats:sec>","DOI":"10.1093\/asj\/sjaa012","type":"journal-article","created":{"date-parts":[[2020,1,21]],"date-time":"2020-01-21T14:31:41Z","timestamp":1579617101000},"page":"829-835","source":"Crossref","is-referenced-by-count":14,"title":["Application of Trans-Areola Approach for Costal Cartilage Harvest in Asian Rhinoplasty and Comparison with Traditional Approach on Donor-Site Morbidity"],"prefix":"10.1093","volume":"40","author":[{"given":"Runlei","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, Peking University Third Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2563-8997","authenticated-orcid":false,"given":"Bailin","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Peking University Third Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hengju","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Peking University Third Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Peking University Third Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"An","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Peking University Third Hospital, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingfang","family":"Ke","sequence":"additional","affiliation":[{"name":"Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science , Hubei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,1,21]]},"reference":[{"issue":"4","key":"2022122116193947300_CIT0001","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1001\/archfaci.2012.577","article-title":"Contemporary review of rhinoplasty","volume":"14","author":"Angelos","year":"2012","journal-title":"Arch Facial Plast Surg."},{"issue":"7","key":"2022122116193947300_CIT0002","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1002\/lary.27551","article-title":"The epidemiology of autologous tissue grafting in primary and revision rhinoplasty","volume":"129","author":"Lee","year":"2019","journal-title":"Laryngoscope."},{"issue":"1","key":"2022122116193947300_CIT0003","doi-asserted-by":"crossref","first-page":"79","DOI":"10.4103\/ijps.IJPS_124_16","article-title":"Harvesting split thickness costal cartilage graft","volume":"50","author":"Gaba","year":"2017","journal-title":"Indian J Plast Surg."},{"issue":"2","key":"2022122116193947300_CIT0004","doi-asserted-by":"crossref","first-page":"40e","DOI":"10.1097\/PRS.0b013e3181c82f12","article-title":"Current status of grafts and implants in rhinoplasty: part I. 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