Survival of Block and Fascial-Wrapped Diced Cartilage Grafts

Fatemi, Mohammad Javad; Hasani, Mohammad Esmaeel; Rahimian, Shahram; Bateni, Hamid; Pedram, Mir Sepehr; Mousavi, Seyed Jaber

doi:10.1097/sap.0b013e3182275d6a

Cited by 31 publications

(22 citation statements)

References 13 publications

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“…However, most previous studies investigating cartilage graft survival have used this technique [1,2,8,9,15]. The results of our study show the superior viability and reduced resorption rates of the perichondrium-wrapped diced cartilage grafts as compared with the fascia-wrapped graft.…”

Section: Discussionmentioning

confidence: 45%

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A Comparison of Diced Cartilage Grafts Wrapped in Perichondrium Versus Fascia

Kemaloğlu

Tekin

2014

Aesth Plast Surg

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This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Section: Discussionmentioning

confidence: 45%

“…In a later study by Daniel and Calvert, high resorption rates were reported from Surgicel Ò -wrapped cartilage and the use of fascia was recommended [4]. Conversely, a comparison between block and fasciawrapped diced cartilages found that fascia wrapping caused low viability rates [15].…”

Section: Discussionmentioning

confidence: 96%

A Comparison of Diced Cartilage Grafts Wrapped in Perichondrium Versus Fascia

Kemaloğlu

Tekin

2014

Aesth Plast Surg

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“…Due to the inflammatory response and fibrosis there is subsequent resorption of the diced cartilage. 7 Firat et al have reported better results with use of bare cartilage than wrapping it with fascia. 8 Excellent results have been reported with use of multifragmented cartilage graft wrapped in fascia in another series.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of diced cartilage graft in dorsal augmentation rhinoplasty and comparison with solid block cartilage

Anchan

Naik

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: The aim of the study is to compare the results of dorsal augmentation rhinoplasty using diced cartilage graft wrapped in temporalis fascia and bare, solid block of cartilage. Methods: This is a prospective study of a group of 25 patients who presented to ENT OPD from January 2011 to January 2016 with saddle nose deformity. All the patients underwent external septorhinoplasty with dorsal augmentation using either diced cartilage wrapped in temporalis fascia or solid piece of cartilage harvested from septum or concha. Results: The patients were followed up for 18 months post-operatively and the results were recorded in terms of patient's satisfaction. Complications, if any were also recorded. Conclusions:Comparison between the two groups yielded equal success rate with no evidence of graft resorption, infection or extrusion in either of the group.

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“…21 Absorption of diced cartilage fascia grafts was found to be clinically insignificant, obviating the need for overcorrection. 22 The potentially crucial role of the fascial sleeve for cartilage survival 5 has been questioned recently by 2 studies 23,24 comparing survival of solid block and diced cartilage wrapped in fascia in rabbits. The degree of resorption of the diced cartilage wrapped in fascia was found to be considerable compared with 1-piece block grafts, most likely because of histologic evidence of fibrosis and inflammatory cell infiltration.…”

Section: T He Quest For the Idealmentioning

confidence: 99%

“…32 It is now accepted that this variation may be the result of the degree of crushing, and cartilage survives well compared with other autologous tissues, even if transplanted without a sleeve. 15,23,24 This suggests replacing the fascial sleeve by a binder holding the cartilage in place. A prerequisite for the concept of bonding is cartilage survival and graft stability without the resorption seen with oxymethylcellulose sheeting and acrylate glue.…”

Section: Commentmentioning

confidence: 99%

The Diced Cartilage Glue Graft for Nasal Augmentation

Tasman

Diener²,

Litschel³

2013

JAMA Facial Plast Surg

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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.

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Survival of Block and Fascial-Wrapped Diced Cartilage Grafts

Abstract: The amplitude of resorption of the diced cartilage wrapped in fascia is considerable compared with one-piece block grafts. It may be anticipated that the enthusiasm for this technique will decline once the long-term results of pertaining clinical studies are available.

Cited by 31 publications

References 13 publications

A Comparison of Diced Cartilage Grafts Wrapped in Perichondrium Versus Fascia

A Comparison of Diced Cartilage Grafts Wrapped in Perichondrium Versus Fascia

Efficacy of diced cartilage graft in dorsal augmentation rhinoplasty and comparison with solid block cartilage

The Diced Cartilage Glue Graft for Nasal Augmentation

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