{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T08:44:45Z","timestamp":1776415485271,"version":"3.51.2"},"reference-count":27,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although porous high-density polyethylene (pHDPE) is increasingly utilized in East Asian rhinoplasty, complications like perforation remain problematic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study evaluated autologous auricular cartilage-augmented pHDPE grafts for nasal tip plasty in Chinese female revision rhinoplasty cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective study (June 2021-June 2023), 76 patients from a Chinese tertiary hospital were divided into pHDPE group (n = 34, 32.71 \u00b1 6.32 years) receiving pHDPE grafts and traditional group (n = 42, 31.92 \u00b1 7.17 years) using costal cartilage. When necessary, both groups received expanded polytetrafluoroethylene dorsal augmentation. Outcomes included operative metrics (operation time [OT], complications incidence rate, postoperative pain score [PPS], nasal ventilation function autonomy score, and nasal tip material contraction rate [NTMCR]) and aesthetic parameters (nasolabial angle [NA], nasal tip angle, nasal tip projection, nasal bridge length index, nasal shape autonomy score).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The pHDPE group demonstrated superior outcomes: shorter OT (2.88 \u00b1 0.36\u2005h vs 3.45 \u00b1 0.48\u2005h, P &amp;lt; .001), reduced PPS (1.68 \u00b1 0.38 vs 5.12 \u00b1 1.88, P &amp;lt; .001), optimized NA (97.82 \u00b1 2.94\u00b0 vs 100.41 \u00b1 3.82\u00b0, P = .002), and lower NTMCR (4.56 \u00b1 1.13% vs 8.78 \u00b1 2.87%, P &amp;lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Auricular cartilage-augmented pHDPE grafts show significant advantages in operative efficiency, postoperative pain, and implanted material contraction rate for revision rhinoplasty; furthermore, the multi-layered support structure did not compromise the nasal cavity's ventilation function, suggesting clinical promise for East Asian patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence: 4 (Therapeutic)<\/jats:title>\n                    <jats:p\/>\n                  <\/jats:sec>","DOI":"10.1093\/asjof\/ojaf167","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:51:30Z","timestamp":1765889490000},"source":"Crossref","is-referenced-by-count":0,"title":["Autologous Auricular Cartilage-Augmented Porous High-Density Polyethylene Grafts for Nasal Tip Plasty in Female Revision 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