Abel-Jan Tasman1, Pierre-André Diener, Ralph Litschel. 1. Rhinology and Facial Plastic Surgery, Department of Otolaryngology, Cantonal Hospital St Gallen, Rorschacherstrasse 95, St Gallen, Switzerland. abel-jan.tasman@kssg.ch
Abstract
BACKGROUND: A grafting technique that uses diced cartilage without fascia, which improves formability while maintaining long-term stability, would be a welcome addition to the rhinoplasty armamentarium. METHODS: A diced cartilage glue graft was recently introduced as the Tasman technique. The technique has been used by one of us (A.-J.T.) in 28 patients who were monitored clinically for 4 to 26 months. Sonographic morphometry of the graft was used in 10 patients with a maximum follow-up of 15 months, and 2 biopsies were obtained for histologic examination. RESULTS: Fashioning the diced cartilage glue graft reduced operating time compared with the diced cartilage fascia graft and allowed for a wide variety of transplant shapes and sizes, depending on the mold used. All grafts were used for augmentation of the nasal dorsum or radix and healed uneventfully. Sonographic cross-section measures of the grafts changed between 6% and –29%(median, –5%) in the early postoperative phase and 8%and –7% (median, –2%) between 3 and 15 months after insertion. Histologic examination of the graft biopsies revealed viable cartilage with signs of regeneration. CONCLUSION: The diced cartilage glue graft may become an attractive alternative to accepted methods for dorsal augmentation, the diced cartilage fascia graft in particular.
BACKGROUND: A grafting technique that uses diced cartilage without fascia, which improves formability while maintaining long-term stability, would be a welcome addition to the rhinoplasty armamentarium. METHODS: A diced cartilage glue graft was recently introduced as the Tasman technique. The technique has been used by one of us (A.-J.T.) in 28 patients who were monitored clinically for 4 to 26 months. Sonographic morphometry of the graft was used in 10 patients with a maximum follow-up of 15 months, and 2 biopsies were obtained for histologic examination. RESULTS: Fashioning the diced cartilage glue graft reduced operating time compared with the diced cartilage fascia graft and allowed for a wide variety of transplant shapes and sizes, depending on the mold used. All grafts were used for augmentation of the nasal dorsum or radix and healed uneventfully. Sonographic cross-section measures of the grafts changed between 6% and –29%(median, –5%) in the early postoperative phase and 8%and –7% (median, –2%) between 3 and 15 months after insertion. Histologic examination of the graft biopsies revealed viable cartilage with signs of regeneration. CONCLUSION: The diced cartilage glue graft may become an attractive alternative to accepted methods for dorsal augmentation, the diced cartilage fascia graft in particular.
Authors: Manoel P da S Neto; Élia C de S Almeida; Luciana R da C C Tiveron; Marco T R da Cunha; Aluísio G Medeiros; Renata M Etchebehere Journal: Plast Reconstr Surg Glob Open Date: 2020-08-20
Authors: Nikita Gupta; Michelle A Cruz; Philip Nasser; Joshua D Rosenberg; James C Iatridis Journal: Ann Otol Rhinol Laryngol Date: 2019-03-12 Impact factor: 1.547