Crushed cartilage in nasal recontruction

Stoksted, Poul; Ladefoged, C.

doi:10.1017/s0022215100100295

Cited by 25 publications

(13 citation statements)

References 12 publications

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“…However, when solid-carved pieces of cartilage are used to conceal residual deformities or to eliminate adhesions between nasal bones and overlying skin, the edges of the onlay graft may cause unsightly irregularities with time, especially in patients with thin nasal skin or scars. Various authors 2,9,[13][14][15][16][17][18]24,[26][27][28][29][30] have suggested modifying autogenous cartilage, by thinning, dicing, or crushing, to manage this situation. McKinney et al 2 popularized the use of cartilaginous autogenous thin septal grafts that measured 35ϫ8 mm and were less than 1 mm thick to mask residual deformities.…”

Section: Commentmentioning

confidence: 99%

“…Many authors 9,[14][15][16][17][18]24,30 have used a crushed cartilage graft to conceal dorsal irregularities and to achieve a smoother nasal surface. However, no standardization has been established for the crushing methods used in clinical reports.…”

Section: Commentmentioning

confidence: 99%

“…However, the literature contains limited and conflicting information about the clinical outcome of crushed cartilage grafts. 9,[13][14][15][16][17][18][19][20][21][22] Thus, most surgeons hesitate to use that material for contour restoration in rhinoplasty. We assessed the clinical outcome in patients in whom crushed cartilage grafts were used to conceal irregularities after rhinoplasty.…”

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confidence: 99%

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Crushed Cartilage Grafts for Concealing Irregularities in Rhinoplasty

Cakmak

Büyüklü²

2007

Arch Facial Plast Surg

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Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

mentioning

confidence: 99%

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Crushed Cartilage Grafts for Concealing Irregularities in Rhinoplasty

Cakmak

Büyüklü²

2007

Arch Facial Plast Surg

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“…The author here have supported the wrapped diced cartilage on L-shaped septal support fixed between the two upper lateral cartilages. Some investigators [12] have implanted diced cartilage into prepared tissue pockets by syringing the graft material through small incisions.…”

Section: Discussionmentioning

confidence: 99%

Diced Cartilage: An Effective Graft for Post-Traumatic and Revision Rhinoplasty

Baser

Kothari

Thakur

2012

Indian J Otolaryngol Head Neck Surg

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Rhinoplasty has grown and developed over so many years but the choice of the graft material in revision rhinoplasty and rhinoplasty for post-traumatic cases still remains debatable. In such patients, non-availability of adequate autogenous graft, multiple septal fractures and skin fibrosis are a challenge to the rhinologist. To deal with this problem authors have used diced cartilage pieces as a grafting material. Secondary rhinoplasty for correction of the nasal dorsum was done in 32 patients and evaluated. The study, highlights the distinct advantages of using diced cartilage wrapped in fascia for dorsal augmentation. Full length grafts were used in all patients and this was supported on a L-shaped cartilage fixed between the two upper lateral cartilage. Fascial tube was prepared from fascia lata and conchal, rib or septal cartilage was the source of diced cartilage (0.5-1 mm sized pieces). The L-shaped structural support was prepared from the remnant of septal cartilage if any or from the conchal or rib cartilage. Patients were followed for a period of 6 months-3 years. In 30 patients post-op course was uneventful with good reconstruction results.Step-deformity was encountered in one patient and in another patient the tube opened with extrusion of diced cartilage pieces. Both these patients were effectively managed. In conclusion, diced cartilage wrapped in fascial tube has distinct advantages like it is simpler procedure and graft material is adequate and autogenous. Grafts can be prepared as per the desired length, shape and size to fit the specific defect. These being highly malleable can be used without any tension on the already thickened and fibrosed skin and soft tissue. Complications like step deformity and extrusion rarely occur and can be easily managed. Over correction and graft visibility were not met with.

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“…However, the literature contains limited and conflicting information about the clinical outcome of crushed cartilage grafts (Huizing, 1974;Breadon et al, 1979;Stoksted and Ladefoged, 1986;Verwoerd-Verhoef et al, 1991;Hamra, 1993;Bujia, 1994;Guyuron and Friedman, 1994;Rudderman et al, 1994;Yilmaz et al, 2001;Cakmak and Ergin, 2002;Cakmak et al, 2005aCakmak et al, , 2005bCakmak and Buyuklu, 2007). The effects of the degree of crushing on rabbit auricular (Cakmak et al, 2005b) and human nasal septal (Cakmak et al, 2005a) cartilages, and the clinical outcome of crushed grafts (Cakmak and Buyuklu, 2007) in rhinoplasty were assessed before.…”

Section: Introductionmentioning

confidence: 99%