TY - JOUR
T1 - A novel autologous scaffold for diced-cartilage grafts in dorsal augmentation rhinoplasty
AU - Bullocks, Jamal M.
AU - Echo, Anthony
AU - Guerra, Gerardo
AU - Stal, Samuel
AU - Yuksel, Eser
PY - 2011/8/1
Y1 - 2011/8/1
N2 - Background: Diced-cartilage grafts have been used for dorsal nasal augmentation for several years with good results. However, compounds such as Surgicel and temporalis fascia used as a wrap have inherent problems associated with them, predominantly inflammation and graft resorption. An autologous carrier could provide stabilization of cartilage grafts while avoiding the complications seen with earlier techniques. Methods: In our patients, a malleable construct was used for dorsal nasal augmentation in which autologous diced-cartilage grafts were stabilized with autologous tissue glue (ATG) created from platelet-rich plasma (platelet gel) and platelet-poor plasma (fibrin glue). Results: A prospective analysis of 68 patients, who underwent dorsal nasal augmentation utilizing ATG and diced-cartilage grafts between 2005 and 2008, were included in the study. Although there was notable maintenance of the dorsal height, no complications occurred that required explantation over a mean follow-up of 15 months. Conclusion: The use of ATG to stabilize diced-cartilage grafts is a safe, reliable technique for dorsal nasal augmentation. The platelet gel provides growth factors while the fibrin glue creates a scaffold that allows stabilization and diffusion of nutrients to the cartilage graft.
AB - Background: Diced-cartilage grafts have been used for dorsal nasal augmentation for several years with good results. However, compounds such as Surgicel and temporalis fascia used as a wrap have inherent problems associated with them, predominantly inflammation and graft resorption. An autologous carrier could provide stabilization of cartilage grafts while avoiding the complications seen with earlier techniques. Methods: In our patients, a malleable construct was used for dorsal nasal augmentation in which autologous diced-cartilage grafts were stabilized with autologous tissue glue (ATG) created from platelet-rich plasma (platelet gel) and platelet-poor plasma (fibrin glue). Results: A prospective analysis of 68 patients, who underwent dorsal nasal augmentation utilizing ATG and diced-cartilage grafts between 2005 and 2008, were included in the study. Although there was notable maintenance of the dorsal height, no complications occurred that required explantation over a mean follow-up of 15 months. Conclusion: The use of ATG to stabilize diced-cartilage grafts is a safe, reliable technique for dorsal nasal augmentation. The platelet gel provides growth factors while the fibrin glue creates a scaffold that allows stabilization and diffusion of nutrients to the cartilage graft.
KW - Diced cartilage
KW - Diced-cartilage grafts
KW - Dorsal nasal augmentation
KW - Fibrin glue
KW - Platelet gel
KW - Platelet-poor plasma
KW - Platelet-rich plasma
KW - Rhinoplasty
UR - http://www.scopus.com/inward/record.url?scp=80054713155&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80054713155&partnerID=8YFLogxK
U2 - 10.1007/s00266-011-9725-9
DO - 10.1007/s00266-011-9725-9
M3 - Review article
C2 - 21487909
AN - SCOPUS:80054713155
SN - 0364-216X
VL - 35
SP - 569
EP - 579
JO - Aesthetic Plastic Surgery
JF - Aesthetic Plastic Surgery
IS - 4
ER -