A novel autologous scaffold for diced-cartilage grafts in dorsal augmentation rhinoplasty

Jamal M. Bullocks, Anthony Echo, Gerardo Guerra, Samuel Stal, Eser Yuksel

Research output: Contribution to journalReview article

49 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)569-579
Number of pages11
JournalAesthetic Plastic Surgery
Volume35
Issue number4
DOIs
StatePublished - Aug 1 2011

Keywords

  • Diced cartilage
  • Diced-cartilage grafts
  • Dorsal nasal augmentation
  • Fibrin glue
  • Platelet gel
  • Platelet-poor plasma
  • Platelet-rich plasma
  • Rhinoplasty

ASJC Scopus subject areas

  • Surgery

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