A New Era of Diced Cartilage Rhinoplasty: Our Experience.

Indian J Otolaryngol Head Neck Surg

Department of ENT & HNS, AFMC, Pune, 411040 Maharashtra India.

Published: December 2015

The use of diced cartilage grafts in reconstructive surgery was first described by Peer in 1943 though it was not for rhinoplasty. A number of studies describing diced cartilage have followed since then, but the technique has never achieved widespread use. In recent years, however, an interest in using diced cartilage for augmentation rhinoplasty has resurfaced. As surgeons revisit this technique, it is important that this technique is subjected to critical evaluation in terms of materials, approaches, and indications of using using diced-cartilage augmentation. External rhinoplasty approach with diced cartilage as a graft was used to for augmenting the nasal dorsum in 32 patients. Cosmetic appearance improved in all cases both subjectively and objectively. Only one patient showed constriction of dorsum 09 months after surgery. None of the patient had any intra-operative complication, 02 had donor site complication in the form of aural haematoma in 01 patient and wound infection in 01 patient. Diced cartilage technique is an attractive option for use in rhinoplasties especially those requiring augmentation procedures.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4678274PMC
http://dx.doi.org/10.1007/s12070-014-0816-1DOI Listing

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