Abel-Jan Tasman1. 1. Rhinology and Facial Plastic Surgery, Department of Otolaryngology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland. abel-jan.tasman@kssg.ch
Abstract
PURPOSE OF REVIEW: The quest for the ideal method for augmenting the nasal dorsum continues to be a matter of debate, with alloplastic materials and autologous tissues each having distinct advantages. This review focuses on the use of autologous tissues, diced cartilage in particular. RECENT FINDINGS: In the western world, the preferred tissue has been autologous cartilage with diced cartilage in a sleeve of fascia having become the dominant technique in the last decade. This review highlights the characteristics of different augmentation techniques, giving particular attention to a recent modification of a diced cartilage graft, described as the Tasman technique. The technique bonds the cartilage with fibrin glue, greatly improving the ease of graft preparation and its versatility. A morphometric study has shown this graft to be stable over a 15-month follow-up period. SUMMARY: Using autologous tissue for nasal dorsal augmentation meets the preference of most patients and surgeons. The diced cartilage glue graft is a welcome addition to the rhinoplasty armamentarium.
PURPOSE OF REVIEW: The quest for the ideal method for augmenting the nasal dorsum continues to be a matter of debate, with alloplastic materials and autologous tissues each having distinct advantages. This review focuses on the use of autologous tissues, diced cartilage in particular. RECENT FINDINGS: In the western world, the preferred tissue has been autologous cartilage with diced cartilage in a sleeve of fascia having become the dominant technique in the last decade. This review highlights the characteristics of different augmentation techniques, giving particular attention to a recent modification of a diced cartilage graft, described as the Tasman technique. The technique bonds the cartilage with fibrin glue, greatly improving the ease of graft preparation and its versatility. A morphometric study has shown this graft to be stable over a 15-month follow-up period. SUMMARY: Using autologous tissue for nasal dorsal augmentation meets the preference of most patients and surgeons. The diced cartilage glue graft is a welcome addition to the rhinoplasty armamentarium.