Diced Cartilage Techniques in Rhinoplasty

Dong, Wenfang; Han, Ri; Fan, Fei

doi:10.1007/s00266-021-02628-2

Cited by 7 publications

(5 citation statements)

References 56 publications

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“…Tutoplast-treated fascia lata, AlloDerm, and esterified HA wraps for cartilage have produced encouraging initial results, but their use has been controversial. Wrapping shaved cartilage or ultra-diced cartilage in concentrated growth factor or platelet-rich fibrin gave satisfactory clinical results [ 83 ].…”

Section: Methodsmentioning

confidence: 99%

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

Nikparto,

Yari,

Mehraban

et al. 2024

Maxillofac Plast Reconstr Surg

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Background An essential aspect of rhinoplasty is the enhancement of the nasal dorsal contour by performing dorsal augmentation (DA) rhinoplasty. A wide range of techniques are available for DA as the demand for aesthetic nasal refinement grows. This review aims to provide a comprehensive overview of the current techniques used in DA rhinoplasty. Main body Research articles on DA rhinoplasty techniques were identified through a comprehensive literature search. Scopus, PubMed, and Web of Science were used as electronic databases. Each database was searched for articles published since its inception. DA rhinoplasty techniques were examined in this literature review. Methodological quality was assessed for the selected studies, and data was extracted to examine materials used, surgical approaches, and reported outcomes for each technique. Various DA methods, including autologous grafts and synthetic implants, are examined in-depth in this review. Comparing approaches can help better understand their respective advantages and limitations. Conclusion A wealth of techniques is available for DA rhinoplasty, each with advantages. Patients’ nasal anatomy, desired outcomes, and potential risks must be considered by surgeons when determining their surgical approach. DA methods continue to evolve rapidly, creating a need for a thorough understanding of the current landscape to make informed decisions.

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Section: Methodsmentioning

confidence: 99%

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

Nikparto,

Yari,

Mehraban

et al. 2024

Maxillofac Plast Reconstr Surg

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“…However, postoperative cartilage absorption has always been a perplexing problem. Some studies have demonstrated that the first two generations of platelet products promoted cell proliferation and metabolism of chondrocytes, and reduced absorption of cartilage after rhinoplasty [42][43][44] . Similarly, as the third generation of platelet products, CGF has also entered the vision of researchers.…”

Section: Cgf Applications In Rhinoplastymentioning

confidence: 99%

Novel Applications of Concentrated Growth Factors in Facial Rejuvenation and Plastic Surgery

Wang

2022

Facial Plast Surg

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As the third-generation platelet concentrate product, concentrated growth factors exhibit good promotion to the repair and regeneration of soft and hard tissues, and has gradually attracted attention in the field of cosmetic plastic surgery. The purpose of this review is to summarize the application and research of CGF in the field of facial rejuvenation and plastic surgery. A comprehensive review of the literatures about the applications of CGF in facial rejuvenation and plastic surgery were conducted in PubMed, OVID Medline and Web of Science. According to the inclusion and exclusion criteria, a total of 22 articles were included in this review. In recent years, CGF has been applied in many aspects in the field of facial rejuvenation and plastic surgery, including skin photoaging, repairment of soft tissue defects, rhinoplasty, hair loss, autologous fat transplantation and scars. And there are no significant adverse reactions have been reported as so far. CGF is rich in high-concentration growth factors, which has great potential and application prospects in facial rejuvenation and plastic surgery. However, the applications of CGF still have some problems, such as the mechanism, the time of decomposition, the long-term efficacy and safety, which are needed to be resolved in future.

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“…10,11 As a result, diced cartilage graft has been proposed to prevent cartilage warping by slicing it into dices and disrupting its inner interactions. 12 So far diced cartilage graft has been widely used in rhinoplasty repairing various forms of nasal deformities. Comparing with other solid cartilage graft, it requires less volume of cartilage, is flexible in shape and size, and has less graft contour visibility, 8 which can reduce the damage at the donor site and requirement of surgical skills.…”

Section: Introductionmentioning

confidence: 99%

“…However, clinical studies have suggested that all solid grafts are associated with cartilage warping, which can cause failure of the operation 10,11 . As a result, diced cartilage graft has been proposed to prevent cartilage warping by slicing it into dices and disrupting its inner interactions 12 …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Promotion of diced cartilage survival and regeneration with grafting of small intestinal submucosa loaded with urine‐derived stem cells

Li,

Wang,

Huang

et al. 2023

Cell Proliferation

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Cartilage absorption and calcification are prone to occur after the implantation of diced cartilage wrapped with autologous materials, as well as prolong the operation time, aggravate surgical trauma and postoperative pain during the acquisition process. Small intestinal submucosa (SIS) has suitable toughness and excellent degradability, which has been widely used in the clinic. Urine‐derived stem cells (USCs), as a new type of stem cells, have multi‐directional differentiation potential. In this study, we attempt to create the tissue engineering membrane material, termed USCs‐SIS (U‐SIS), and wrap the diced cartilage with it, assuming that they can promote the survival and regeneration of cartilage. In this study, after co‐culture with the SIS and U‐SIS, the proliferation, migration and chondrogenesis ability of the auricular‐derived chondrocyte cells (ACs) were significantly improved. Further, the expression levels of chondrocyte phenotype‐related genes were up‐regulated, whilst that of dedifferentiated genes was down‐regulated. The signal pathway proteins (Wnt3a and Wnt5a) were also participated in regulation of chondrogenesis. In vivo, compared with perichondrium, the diced cartilage wrapped with the SIS and U‐SIS attained higher survival rate, less calcification and absorption in both short and long terms. Particularly, USCs promoted chondrogenesis and modulated local immune responses via paracrine pathways. In conclusion, SIS have the potential to be a new choice of membrane material for diced cartilage graft. U‐SIS can enhance survival and regeneration of diced cartilage as a bioactive membrane material.

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Diced Cartilage Techniques in Rhinoplasty

Cited by 7 publications

References 56 publications

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

The current techniques in dorsal augmentation rhinoplasty: a comprehensive review

Novel Applications of Concentrated Growth Factors in Facial Rejuvenation and Plastic Surgery

Promotion of diced cartilage survival and regeneration with grafting of small intestinal submucosa loaded with urine‐derived stem cells

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