Survival of Minced Cartilage Grafts with Comparison Surgicel® Original and Fibrillar

Özkan, Adem; Topkara, Adem; Akbulut, Metin; Özcan, Ramazan Hakan

doi:10.1007/s00266-016-0661-6

Cited by 6 publications

(4 citation statements)

References 20 publications

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“…The septal cartilage was the preferred material in previous studies. 2,3 In this study, the cartilage chips were used under direct vision, placed on a carrier such as Killian septum gouge, the handle of Rubin osteotome or Freer elevator. The Killian septum gouge was the most ideal instrument to place cartilage chips on the radix because of its concave bed.…”

Section: Discussionmentioning

confidence: 99%

“…During rhinoplasty, cartilage is used for many reasons. The senior author likes to make an analogy with the construction when it comes to the use of cartilage in rhinoplasty: the cartilage dust is like cement, the diced cartilage is like pebble stone, 1 the chips 2 3 are like tiles or bricks, the thinned cartilage is like a cover material, 4 the grafts are like columns.…”

Section: Key Pointsmentioning

confidence: 99%

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Cartilage Chips in Rhinoplasty

et al. 2022

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Objective This study reveals that the cartilage chips can be a good solution for camouflage and augmentation in rhinoplasty. Methods In this study, 64 patients who had undergone rhinoplasty from 2014 to 2019 were retrospectively studied. The average age was 31. Forty-nine patients had primary and 15 revision rhinoplasties. Cartilage chips were cut into less than 0.5-mm thickness dimensions changing from 2 to 10 mm. They were used to fill deep radix, depressions at the key area, supratip area, around the grafts to prevent their visibility at the tip. In addition, they were used in the fascia for augmentation. The cartilage chips were sculpted from the septal cartilage in 47, rib in 16, and ear cartilage in one case. Results They were applied on the radix in 25, middle vault in 37, supratip area in 32, and on the tip in 12 cases. In 30 cases, cartilage chips were mixed with cartilage dust for better fixation and camouflage. They were placed in the fascia in three cases for dorsal augmentation. Complications were seen in three cases in the form of irregularities. Conclusion Cartilage chips are found to be a powerful solution in terms of camouflage and augmentation.

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Section: Discussionmentioning

confidence: 99%

Section: Key Pointsmentioning

confidence: 99%

Cartilage Chips in Rhinoplasty

et al. 2022

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“…The fibrin glue causes chondrocyte proliferation and cartilaginous tissue formation with the development of cartilage-specific extracellular matrix components glycosaminoglycans and collagen Type II. [ 21 ]…”

Section: Discussionmentioning

confidence: 99%

Autogenous control augmentation system – A refinement in diced cartilage glue graft for augmentation of dorsum of nose

Swaroop

Reddy

Mangal

et al. 2018

Indian J Plast Surg

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Background:In the context of different grafts being used for dorsal augmentation, diced cartilage with glue has gained worldwide acceptance.Aims:To develop a system of tools to objectively evaluate the desired dimensions of the required graft for dorsal augmentation and to prepare a corresponding customized-glued-diced cartilage construct.Materials and Methods:A modification of the diced cartilage glue technique called Autogenous control augmentation system (ACAS) was used in ten patients.Results:Of the ten patients, in which this technique was used, eight underwent primary rhinoplasties and two underwent secondary rhinoplasties between July 2017 and December 2017 with a follow-up ranging from 3 to 8 months. In all the cases, the dorsum is straight, and height is maintained.Conclusion:The technique has all the advantages of the diced cartilage glue. The shape resembles alloplastic implant with height and width varying from radix to tip. There is tapering of the cephalic and caudal ends for more natural results. The brow tip aesthetic lines are better defined. The limitation of this study is short follow up.

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“…Minced and diced cartilage grafts that had been transplanted to a subcutaneous dorsal pocket in rabbits showed a marked chondrocyte nucleus loss accompanied by a minimal peripheral proliferation if the cartilage had been surrounded by braided Surgicel or by fibrillar Surgicel. 35 The negative effect of the oxidized cellulose wrapping on the viability of enclosed diced cartilage therefore appears to remain somewhat controversial, as does the role of the fascial sleeve in DCF grafts. The fascial sleeve was initially considered crucial for cartilage survival, 5 but its importance was later questioned by two studies comparing the survival of solid block and diced cartilage wrapped in fascia in rabbits.…”

Section: Fascia and Alternative Wrappingsmentioning

confidence: 99%

Dorsal Augmentation-Diced Cartilage Techniques: The Diced Cartilage Glue Graft

Tasman

2017

Facial plast Surg

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The quest for the ideal method for augmenting the nasal dorsum continues to be a matter of debate, with both most surgeons and patients preferring autologous tissue. This article reviews the current use of diced cartilage for nasal augmentation, emphasizing the diced cartilage in fibrin glue (DCG) graft. It offers the first collation of unfavorable outcomes and complications of the DCG graft seen in a series of 108 patients treated at the author's institution. The DCG graft continues to be a versatile graft that is stable over time and combines unique features. It has proved to be particularly well suited for segmental augmentations of the dorsum. Resorption of the graft has been rare and infrequent unfavorable outcomes have all been amenable to successful minor surgical revisions.

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Survival of Minced Cartilage Grafts with Comparison Surgicel® Original and Fibrillar

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266 .

Cited by 6 publications

References 20 publications

Cartilage Chips in Rhinoplasty

Cartilage Chips in Rhinoplasty

Autogenous control augmentation system – A refinement in diced cartilage glue graft for augmentation of dorsum of nose

Dorsal Augmentation-Diced Cartilage Techniques: The Diced Cartilage Glue Graft

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