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

Abel-Jan Tasman

doi:10.1055/s-0037-1598185

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2017; 33(02): 179-188
DOI: 10.1055/s-0037-1598185

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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

Abel-Jan Tasman

¹ENT Department, Cantonal Hospital St. Gallen, St.Gallen, Switzerland

› Author Affiliations

Abstract

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.

Keywords

rhinoplasty - dorsal augmentation - diced cartilage - fibrin glue

Full Text

References

References
1 Daniel RK, Sajadian A. Secondary rhinoplasty: management of the overresected dorsum. Facial Plast Surg 2012; 28 (4) 417-426
2 Jang YJ, Moon BJ. State of the art in augmentation rhinoplasty: implant or graft?. Curr Opin Otolaryngol Head Neck Surg 2012; 20 (4) 280-286
3 Kim EK, Daniel RK. Operative techniques in Asian rhinoplasty. Aesthet Surg J 2012; 32 (8) 1018-1030
4 Daniel RK, Calvert JW. Diced cartilage grafts in rhinoplasty surgery. Plast Reconstr Surg 2004; 113 (7) 2156-2171
5 Calvert JW, Brenner K, DaCosta-Iyer M, Evans GR, Daniel RK. Histological analysis of human diced cartilage grafts. Plast Reconstr Surg 2006; 118 (1) 230-236
6 Sajjadian A, Rubinstein R, Naghshineh N. Current status of grafts and implants in rhinoplasty: part I. Autologous grafts. Plast Reconstr Surg 2010; 125 (2) 40e-49e
7 Sajjadian A, Naghshineh N, Rubinstein R. Current status of grafts and implants in rhinoplasty: Part II. Homologous grafts and allogenic implants. Plast Reconstr Surg 2010; 125 (3) 99e-109e
8 Kim JS, Khan NA, Song HM, Jang YJ. Intraoperative measurements of harvestable septal cartilage in rhinoplasty. Ann Plast Surg 2010; 65 (6) 519-523
9 Antohi N, Isac C, Stan V, Ionescu R. Dorsal nasal augmentation with “open sandwich” graft consisting of conchal cartilage and retroauricular fascia. Aesthet Surg J 2012; 32 (7) 833-845
10 Kim JH, Jang YJ. Use of diced conchal cartilage with perichondrial attachment in rhinoplasty. Plast Reconstr Surg 2015; 135 (6) 1545-1553
11 Topkara A, Özkan A, Özcan RH, Öksüz M, Akbulut M. Effect of concentrated growth factor on survival of diced cartilage graft. Aesthet Surg J 2016; 36 (10) 1176-1187
12 Patrocinio LG, Patrocinio TG, Patrocinio JA. Trending topics in rhinoplasty. Arch Facial Plast Surg 2011; 13 (6) 434-435
13 Lee M, Inman J, Ducic Y. Central segment harvest of costal cartilage in rhinoplasty. Laryngoscope 2011; 121 (10) 2155-2158
14 Chauhan N, Sepehr A, Gantous A. Costal cartilage autograft harvest: inferior strip preservation technique. Plast Reconstr Surg 2010; 125 (5) 214e-215e
15 Kridel RW, Ashoori F, Liu ES, Hart CG. Long-term use and follow-up of irradiated homologous costal cartilage grafts in the nose. Arch Facial Plast Surg 2009; 11 (6) 378-394
16 Moon BJ, Lee HJ, Jang YJ. Outcomes following rhinoplasty using autologous costal cartilage. Arch Facial Plast Surg 2012; 14 (3) 175-180
17 Swanepoel PF, Fysh R. Laminated dorsal beam graft to eliminate postoperative twisting complications. Arch Facial Plast Surg 2007; 9 (4) 285-289
18 Lopez MA, Shah AR, Westine JG, O'Grady K, Toriumi DM. Analysis of the physical properties of costal cartilage in a porcine model. Arch Facial Plast Surg 2007; 9 (1) 35-39
19 Yu MS, Park HS, Lee HJ, Jang YJ. Histomorphological changes of Tutoplast-processed fascia lata grafts in a rabbit rhinoplasty model. Otolaryngol Head Neck Surg 2012; 147 (2) 239-244
20 Clark RP. Nasal dorsal augmentation with freeze-dried allograft bone. Plast Reconstr Surg 2010; 126 (3) 1113-1116
21 Jurk V, Kampmann H, Iblher N, Bannasch H, Gubisch W. Long-term comparison of rib and ear cartilage grafts in autologous and allogenic fascia lata: an experimental study in a white rabbit model. Plast Reconstr Surg 2016; 137 (5) 1465-1474
22 Jang YJ, Song HM, Yoon YJ, Sykes JM. Combined use of crushed cartilage and processed fascia lata for dorsal augmentation in rhinoplasty for Asians. Laryngoscope 2009; 119 (6) 1088-1092
23 Cakmak O, Buyuklu F. Crushed cartilage grafts for concealing irregularities in rhinoplasty. Arch Facial Plast Surg 2007; 9 (5) 352-357
24 Ale de Souza MM, Gregório LC, Sesso R, Souza SA, Settanni F. Study of rabbit septal cartilage grafts placed on the nasal dorsum. Arch Facial Plast Surg 2008; 10 (4) 250-254
25 Peer LA. Reconstruction of the auricle with diced cartilage grafts in a vitallium ear mold. Plast Reconstr Surg 1948; 3: 653
26 Manafi A, Sabet M, Emami A , et al. A comparasion in graft resorption between three techniques of diced cartilage using surgical blade, electrical grinder and grater in rabbit. World J Plast Surg 2014; 3 (1) 52-63
27 Oreroğlu AR, Cakır B, Akan M. Bone dust and diced cartilage combined with blood glue: a practical technique for dorsum enhancement. Aesthetic Plast Surg 2014; 38 (1) 90-94
28 Orak F, Baghaki S. Use of osseocartilaginous paste graft for refinement of the nasal dorsum in rhinoplasty. Aesthetic Plast Surg 2013; 37 (5) 876-881
29 Chang CS, Bergeron L, Chen PK. Diced cartilage rhinoplasty technique for cleft lip patients. Cleft Palate Craniofac J 2011; 48 (6) 663-669
30 Hoehne J, Gubisch W, Kreutzer C, Haack S. Refining the nasal dorsum with free diced cartilage. Facial Plast Surg 2016; 32 (4) 345-350
31 Lin SI, Hsiao YC, Chang CS, Chen PK, Chen JP, Ueng SH. Histology and long-term stability of diced cartilage graft for revision rhinoplasty in a cleft patient. Plast Reconstr Surg Glob Open 2016; 4 (6) e763
32 Erol OO. The Turkish delight: a pliable graft for rhinoplasty. Plast Reconstr Surg 2000; 105 (6) 2229-2241 , discussion 2242–2243
33 Erol OO. Long-term results and refinement of the Turkish delight technique for primary and secondary rhinoplasty: 25 years of experience. Plast Reconstr Surg 2016; 137 (2) 423-437
34 Kazikdas KC, Ergur B, Tugyan K, Guneli E, Kaya D, Sahan M. Viability of crushed and diced cartilage grafts wrapped in oxidized regenerated cellulose and esterified hyaluronic acid: an experimental study. Laryngoscope 2007; 117 (10) 1728-1734
35 Özkan A, Topkara A, Akbulut M, Özcan RH. Survival of minced cartilage grafts with comparison Surgicel(®) original and fibrillar. Aesthetic Plast Surg 2016; 40 (4) 602-612
36 Fatemi MJ, Hasani ME, Rahimian S, Bateni H, Pedram M, Mousavi SJ. Survival of block and fascial-wrapped diced cartilage grafts: an experimental study in rabbits. Ann Plast Surg 2012; 69 (3) 326-330
37 Firat C, Gurlek A, Aydin NE. Viability of cartilage grafts in various forms. J Craniofac Surg 2011; 22 (5) 1666-1670
38 Cerkes N, Basaran K. Diced cartilage grafts wrapped in rectus abdominis fascia for nasal dorsum augmentation. Plast Reconstr Surg 2016; 137 (1) 43-51
39 Gordon CR, Alghoul M, Goldberg JS, Habal MB, Papay F. Diced cartilage grafts wrapped in AlloDerm for dorsal nasal augmentation. J Craniofac Surg 2011; 22 (4) 1196-1199
40 Atespare A, Kara H, Ilter E, Boyaci Z, Çelik Ö, Midi A. Utility of cartilage grafts wrapped with amniotic membrane in dorsal nasal augmentation. J Craniofac Surg 2016; 27 (4) 938-942
41 Xavier R. Pectoralis major fascia in rhinoplasty. Aesthetic Plast Surg 2015; 39 (3) 300-305
42 Kemaloğlu CA, Tekin Y. The effect of sildenafil on fascia-wrapped diced cartilage grafts. Laryngoscope 2015; 125 (5) E168-E172
43 Bullocks JM, Echo A, Guerra G, Stal S, Yuksel E. A novel autologous scaffold for diced-cartilage grafts in dorsal augmentation rhinoplasty. Aesthetic Plast Surg 2011; 35 (4) 569-579
44 Castro-Govea Y, Ayuzo del Valle S, Cervantes Kardasch V, Phillips Eparza E, Vazquez Costilla O. Diced and crushed cartilage plus autologous fibrin matrix obtained by a simple process for dorsal augmentation of the Mestizo nose. Facial Plast Surg 2015; 31 (2) 164-171
45 Codazzi D, Ortelli L, Robotti E. Diced cartilage combined with warm blood glue for nasal dorsum enhancement. Aesthetic Plast Surg 2014; 38 (4) 822-823
46 Baker SR. Diced cartilage augmentation: early experience with the Tasman technique. Arch Facial Plast Surg 2012; 14 (6) 451-455
47 Tasman AJ, Diener PA, Litschel R. The diced cartilage glue graft for nasal augmentation. Morphometric evidence of longevity. JAMA Facial Plast Surg 2013; 15 (2) 86-94
48 Tasman AJ. Advances in nasal dorsal augmentation with diced cartilage. Curr Opin Otolaryngol Head Neck Surg 2013; 21 (4) 365-371
49 Tasman AJ, Suárez GA. The diced cartilage glue graft for radix augmentation in rhinoplasty. JAMA Facial Plast Surg 2015; 17 (4) 303-304
50 Eyrich D, Brandl F, Appel B , et al. Long-term stable fibrin gels for cartilage engineering. Biomaterials 2007; 28 (1) 55-65
51 Eyrich D, Wiese H, Maier G , et al. In vitro and in vivo cartilage engineering using a combination of chondrocyte-seeded long-term stable fibrin gels and polycaprolactone-based polyurethane scaffolds. Tissue Eng 2007; 13 (9) 2207-2218
52 Haisch A, Schultz O, Perka C, Jahnke V, Burmester GR, Sittinger M. [Tissue engineering of human cartilage tissue for reconstructive surgery using biocompatible resorbable fibrin gel and polymer carriers] [in German]. HNO 1996; 44 (11) 624-629
53 Ameer GAMT, Mahmood TA, Langer R. A biodegradable composite scaffold for cell transplantation. J Orthop Res 2002; 20 (1) 16-19
54 Watson D, Sage A, Chang AA, Schumacher BL, Sah RL. Growth of human septal chondrocytes in fibrin scaffolds. Am J Rhinol Allergy 2010; 24 (1) e19-e22
55 Wang ZH, He XJ, Yang ZQ, Tu JB. Cartilage tissue engineering with demineralized bone matrix gelatin and fibrin glue hybrid scaffold: an in vitro study. Artif Organs 2010; 34 (2) 161-166
56 Munirah S, Kim SH, Ruszymah BH, Khang G. The use of fibrin and poly(lactic-co-glycolic acid) hybrid scaffold for articular cartilage tissue engineering: an in vivo analysis. Eur Cell Mater 2008; 15: 41-52
57 Stevenson S, Hodgkinson PD. Cartilage putty: a novel use of fibrin glue with morselised cartilage grafts for rhinoplasty surgery. J Plast Reconstr Aesthet Surg 2014; 67 (11) 1502-1507
58 Yu MS, Kim BH, Kang SH, Lim DJ. Combined use of crushed cartilage and fibrin sealant for radix augmentation in Asian rhinoplasty. Plast Reconstr Surg 2015; 135 (2) 293e-300e
59 Tasman AJ, Wallner F, Neumeier R. [Antibiotic impregnation of cartilage implants: diffusion kinetics of fluoroquinolones] [in German]. Laryngorhinootologie 2000; 79 (1) 30-33
60 http://jamanetwork.com/learning/video-player/10472454
61 http://jamanetwork.com/learning/video-player/5132635
62 Taş S. A new technique to correct saddle nose deformity in failure of diced cartilage grafts: diced cartilage flap. Aesthetic Plast Surg 2015; 39 (5) 764-770
63 Bracaglia R, Tambasco D, DʼEttorre M, Gentileschi S. “Nougat graft”: diced cartilage graft plus human fibrin glue for contouring and shaping of the nasal dorsum. Plast Reconstr Surg 2012; 130 (5) 741e-743e