Autogenous control augmentation system – A refinement in diced cartilage glue graft for augmentation of dorsum of nose

Abstract

Background:In the context of different grafts being used for dorsal augmentation, diced cartilage with glue has gained worldwide acceptance.Aims:To develop a system of tools to objectively evaluate the desired dimensions of the required graft for dorsal augmentation and to prepare a corresponding customized-glued-diced cartilage construct.Materials and Methods:A modification of the diced cartilage glue technique called Autogenous control augmentation system (ACAS) was used in ten patients.Results:Of the ten patients, in which this technique was used, eight underwent primary rhinoplasties and two underwent secondary rhinoplasties between July 2017 and December 2017 with a follow-up ranging from 3 to 8 months. In all the cases, the dorsum is straight, and height is maintained.Conclusion:The technique has all the advantages of the diced cartilage glue. The shape resembles alloplastic implant with height and width varying from radix to tip. There is tapering of the cephalic and caudal ends for more natural results. The brow tip aesthetic lines are better defined. The limitation of this study is short follow up.

Complications of the nasal dorsum reconstruction using autologous or alloplastic grafts: evidence from systematic review and meta-analysis

“…All studies had a low risk of confounding bias, the bias in classification of interventions, bias due to deviations from intended interventions, the bias in the measurement of outcomes, and bias in the selection of the reported result. Nine studies 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 did not report enough baseline data about patients such as sex and mean age. Therefore, these studies marked a moderate risk of bias.…”

“…Regarding missing data, eight studies 25 , 27 , 28 , 30 , 32 , 33 , 34 did not report necessary outcome endpoints to be included in a meta-analysis. We did not find any data for important complications of the surgery such as infection, therefore these studies were put to a high risk of bias.…”

Complications of Diced Cartilage Wrapped in Blood Products in Rhinoplasty: A Meta-Analysis

“…In addition, 1 article was included through reference searching 26. Eleven articles were finally included for meta-analysis 11,26–35. The flow diagram explained the selection procedure (Fig.…”

“…26 Eleven articles were finally included for meta-analysis. 11,[26][27][28][29][30][31][32][33][34][35] The flow diagram explained the selection procedure (Fig. 1).…”