Bone Dust and Diced Cartilage Combined with Blood Glue: A Practical Technique for Dorsum Enhancement

Abstract

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Refining the Nasal Dorsum with Free Diced Cartilage

“…8 The free diced cartilage is molded into the desired shape. To date, several different ways of smoothening the nasal dorsum have been described: the use of the cylindrical power drill, the application of morselized cartilage grafts, 2 using a fascial onlay, comprising either autologous deep temporal fascia or allogenic fascia lata (e.g., Tutoplast), diced cartilage in combination with a scaffold (fascia, fibrin or blood glue, oxidized cellulose, acellular dermal matrix), [3][4][5][6][7][8][9][10][11][12] or free diced cartilage (Kreutzer et al, unpublished data, 2016).…”

Combined Use of Crushed Cartilage and Fibrin Sealant for Radix Augmentation in Asian Rhinoplasty

“…[19][20][21][22] An ideal scaffold for crushed cartilage grafts would be a carrier that ensures adherence, is malleable, does not induce inflammation, and promotes diffusion and thus cartilage growth. 15 The characteristics of the fibrin sealant thus make it a suitable scaffold for carrying and stabilizing cartilage grafts on the nasal dorsum.…”

“…The fibrin sealant thus provides a scaffold to carry and stabilize the dorsal nasal graft. 15 We hypothesized that the fibrin sealant could be used as a carrier of crushed cartilage to stabilize the graft in radix augmentation. The present study describes our experience using this crushed cartilage-fibrin sealant combination as a radix graft in patients who required radix augmentation.…”

Cartilage Scales Embedded in Fibrin Gel

“…Recently, very similar variations of the original idea have been described in the literature with great success. [23][24][25][26] To bond the diced cartilage pieces, the authors used commercially available fibrin glue 24,25 (Tisseel, Baxter International Inc.), autologous tissue glue with topical bovine thrombin 23 (King Pharmaceuticals, New York), or exclusively autologous blood samples. 26 Subsequently, the construct can be fashioned to the desired size and shape, and inserted into the dorsum.…”