Effect of Injectable Platelet-Rich Fibrin on Diced Cartilage's Viability in Rhinoplasty

Göde, Sercan; Öztürk, Arın; Berber, Veysel; Kısmalı, Erkan

doi:10.1055/s-0039-1693035

Cited by 32 publications

(38 citation statements)

References 8 publications

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“…The association of diced cartilage with an injectable fraction of PRF, a technique different from that used in our study, showed a reduction in the resorption of cartilage and an increase in viability and maintenance of the shape of the nasal dorsum. 32 …”

Section: Discussionmentioning

confidence: 99%

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Use of the Autologous Membrane in Structured Rhinoplasty: An Alternative to Camouflaging and Filling

Neto

Almeida

Tiveron

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Background: Rhinoplasty is one of the most challenging procedures in plastic surgery because the surgical modifications should attend to patient expectations and to the need for functional correction allied to aesthetics. Composed of leukocytes and platelet-rich fibrin, an autologous membrane has great potential for tissue repair. The purpose of this study was to assess the use of this membrane (associated or not associated with diced cartilage) as an alternative to techniques such as the camouflage and filling; correction of irregularities of the dorsum, nose tip, soft triangle, and K zone; filling in of dead space; skin camouflage; and an improvement in the healing process in primary or secondary rhinoplasties. Methods: The membranes were obtained by centrifuging patients’ peripheral blood before the rhinoplasty. At the time of use, the membrane was removed from the tube, separated from the clot, and used in the camouflage and filling process in patients operated on due to various indications: 19 associated with diced cartilage, and 4 sole. The authors present the clinical and photographic impressions of the immediate and late postoperative period, as well as the patients’ opinions using a specific questionnaire. Results: No patient had immediate or late postoperative complications. The use of leukocyte- and platelet-rich fibrin (L-PRF) was sufficient to carry out the camouflage and filling in all patients, and the patient declared satisfaction. Conclusions: This membrane was shown to be an excellent surgical alternative to the camouflage and filling in rhinoplasty. In addition, it is rich in factors that can improve and accelerate regeneration of tissues.

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Section: Discussionmentioning

confidence: 99%

“…The use of other methods in rhinoplasty may equally offer similar or even superior results, 32 but the practicality of L-PRF makes it an excellent alternative. The L-PRF membrane is strong, elastic, and flexible, as well as having a favorable architecture to uphold the healing process.…”

Section: Discussionmentioning

confidence: 99%

Use of the Autologous Membrane in Structured Rhinoplasty: An Alternative to Camouflaging and Filling

Neto

Almeida

Tiveron

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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“…PRF seems to decrease resorption rates of the cushion grafts through growth factors and other local beneficial effects. 59,60…”

Section: Thin Skinmentioning

confidence: 99%

Surgical and Nonsurgical Management of the Nasal Skin-Soft Tissue Envelope

Saadoun

Riedel²,

D’Souza

et al. 2021

Facial Plast Surg

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Management of the skin-soft tissue envelope (SSTE) in rhinoplasty is challenging and critical for the overall outcome. The preoperative identification of patients with thick or thin skin and with preexisting skin conditions may contribute significantly to the postsurgical result. Most publications and textbooks focus on the management of the osseocartilaginous framework, but the SSTE management is often not addressed in detail. However, nonsurgical treatments, such as skin preconditioning, topical steroid-injections, oral isotretinoin, and topical vitamin A derivatives, may provide strong benefits. In this article, we reviewed the literature to present a comprehensive review on the available surgical and nonsurgical approaches pre-, intra-, and postoperatively dealing with SSTE in rhinoplasty.

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“…Nasal dorsum irregularities are some of the most commonly encountered problems after rhinoplasty, and visible or palpable irregularities are one of the most frequent reasons for revision rhinoplasty. 1,2 To avoid this, dorsal camouflage is frequently used as a method, not only to support skin-soft tissue envelope, but also to correct minor irregularities of the bony and cartilaginous nasal dorsum. 1,3 Many nasal camouflage techniques were previously defined, and several materials, including autologous and nonautologous grafts, were used with that purpose.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 To avoid this, dorsal camouflage is frequently used as a method, not only to support skin-soft tissue envelope, but also to correct minor irregularities of the bony and cartilaginous nasal dorsum. 1,3 Many nasal camouflage techniques were previously defined, and several materials, including autologous and nonautologous grafts, were used with that purpose. 1,2 However, the choice of the ideal grafting material and the technique applied for correction of minor irregularities remain a matter of discussion.…”

Section: Introductionmentioning

confidence: 99%

Shaved Cartilage Gel Versus Diced Cartilage on Final Dorsal Camouflage: Prospective Study of 200 Patients

Santos

Sousa

Santos

et al. 2021

Facial Plastic Surgery & Aesthetic Medicine

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Importance: Diced cartilage (DC) is a reported technique that has been used for dorsal camouflage after reduction rhinoplasty. Nevertheless, there are certain issues regarding its use on nasal dorsum, especially its variable resorption rate and risk of graft distortion or migration, especially in thin-skinned patients. Recently, regenerative medicine protocols have been used to overcome drawbacks of methods based on DC. Thus, cartilage embedded in platelet-rich fibrin (PRF) has been described as a promising and reliable alternative to existing procedures. Objective: To compare long-term aesthetic outcomes of two different techniques for dorsal camouflage: DC versus shaved cartilage plus platelet-rich fibrin (SC+PRF)-shaved cartilage gel. Design, Setting, and Participants: This is a prospective, interventional, and longitudinal study at an academic tertiary medical center. Participants were 200 consecutive patients undergoing primary reduction rhinoplasty by spare roof technique (SRT) or component dorsal reduction (CDR). Materials and Methods: The inclusion criteria were primary rhinoplasty, in Caucasian patients with dorsal hump, and camouflage of the dorsum by DC or SC+PRF. Exclusion criteria were £18 years of age, revision rhinoplasty and reconstructive rhinoplasty for neoplasic or severe traumatic nasal deformities. The ''Utrecht Questionnaire for outcome assessment in aesthetic rhinoplasty'' was used. Patients answered it before and after surgery (3 and 12 months after). Results: The study population included 200 patients divided into two groups considering the type of dorsal camouflage: DC (n = 132) and shaved cartilage gel (n = 68). The mean age at the time of surgery was 35.44 years (standard deviation -9.78) and the study population included 130 females (65.0%) and 70 males (35.0%). Regarding aesthetic outcomes, analyses of postoperative means showed a significant improvement, in both groups, over time. However, self-assessment, based on the visual analogue scale (VAS), at 12 months postsurgery, was higher for patients with SC+PRF than with DC ( p = 0.004). Twelve months after surgery, patients with thin skin had better aesthetic outcome with SC+PRF than with DC ( p = 0.001). For both reduction rhinoplasty techniques, aesthetic outcomes, based on the VAS at 12 months after surgery, were significantly better for patients with SC+PRF (SRT: p = 0.016; CDR: p = 0.004). For both rhinoplasty approaches, either open or closed, aesthetic outcomes, based on the VAS at 12 months after surgery, were significantly better for patients with SC+PRF (closed approach: p = 0.046; open approach: p = 0.017). Conclusions: SC+PRF provides better long-term aesthetic outcomes, not only for thin-skinned patients, but also for patients who had undergone rhinoplasty by a structured or preservation technique, or by an open or closed approach, for dorsal hump reduction.

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Effect of Injectable Platelet-Rich Fibrin on Diced Cartilage's Viability in Rhinoplasty

Cited by 32 publications

References 8 publications

Use of the Autologous Membrane in Structured Rhinoplasty: An Alternative to Camouflaging and Filling

Use of the Autologous Membrane in Structured Rhinoplasty: An Alternative to Camouflaging and Filling

Surgical and Nonsurgical Management of the Nasal Skin-Soft Tissue Envelope

Shaved Cartilage Gel Versus Diced Cartilage on Final Dorsal Camouflage: Prospective Study of 200 Patients

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