Facial Plast Surg 2019; 35(01): 053-057
DOI: 10.1055/s-0039-1677802
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Replacement of the Nasal Dorsum with a Diced Cartilage Glue Graft

Abel-Jan Tasman
1   ENT, Facial Plastic Surgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland
› Author Affiliations
Further Information

Publication History

Publication Date:
13 February 2019 (online)

Abstract

The reconstruction of the nasal dorsum after a hump resection is challenging if narrowing of the nose is to be avoided, the nasal skin is very thin, and the nasal bones are short. This report describes the replacement of the bony and cartilaginous nasal dorsum after resection with an anatomically shaped dorsal replacement graft of diced cartilage in fibrin glue. The technique is illustrated with a clinical case and sonographic morphometry of the nasal dorsum and tip. A modification of the diced cartilage glue graft for thin-skinned patients is presented.

 
  • References

  • 1 Ponsky D, Eshraghi Y, Guyuron B. The frequency of surgical maneuvers during open rhinoplasty. Plast Reconstr Surg 2010; 126 (01) 240-244
  • 2 Rohrich RJ, Muzaffar AR, Janis JE. Component dorsal hump reduction: the importance of maintaining dorsal aesthetic lines in rhinoplasty. Plast Reconstr Surg 2004; 114 (05) 1298-1308 , discussion 1309–1312
  • 3 Roostaeian J, Unger JG, Lee MR, Geissler P, Rohrich RJ. Reconstitution of the nasal dorsum following component dorsal reduction in primary rhinoplasty. Plast Reconstr Surg 2014; 133 (03) 509-518
  • 4 Kovacevic M, Riedel F, Göksel A, Wurm J. Options for middle vault and dorsum restoration after hump removal in primary rhinoplasty. Facial Plast Surg 2016; 32 (04) 374-383
  • 5 Huizing EH. Push-down of the external nasal pyramid by resection of wedges. Rhinology 1975; 13 (04) 185-190
  • 6 Pinto RM. On the “let-down” procedure in septorhinoplasty. Rhinology 1997; 35 (04) 178-180
  • 7 Barelli PA. Long term evaluation of “push down” procedures. Rhinology 1975; 13 (01) 25-32
  • 8 Saban Y, Daniel RK, Polselli R, Trapasso M, Palhazi P. Dorsal preservation: the push down technique reassessed. Aesthet Surg J 2018; 38 (02) 117-131
  • 9 Ferreira MG, Monteiro D, Reis C, Almeida e Sousa C. Spare roof technique: a middle third new technique. Facial Plast Surg 2016; 32 (01) 111-116
  • 10 Jankowski R. Septorhinoplastie par désarticulation ostéocartilagineuse modelante. Fr ORL 2006; 90: 225-229
  • 11 Boulanger N, Baumann C, Beurton R. , et al. Septorhinoplasty by disarticulation: early assessment of a new technique for morphological correction of crooked noses. Rhinology 2013; 51 (01) 77-87
  • 12 Tasman AJ. Dorsal augmentation-diced cartilage techniques: the diced cartilage glue graft. Facial Plast Surg 2017; 33 (02) 179-188
  • 13 Tasman AJ, Suárez GA. The diced cartilage glue graft for radix augmentation in rhinoplasty. JAMA Facial Plast Surg 2015; 17 (04) 303-304
  • 14 Tasman AJ, Litschel R. The nasal width and boxiness index: introduction and pilot study on reliability and validity of sonographic morphometry. Facial Plast Surg 2018; 34 (04) 373-380
  • 15 Tasman AJ, Palma P. The infracartilaginous approach revisited. Arch Facial Plast Surg 2008; 10 (06) 370-375
  • 16 Tasman AJ. Reducing periorbital edema and ecchymosis after rhinoplasty: literature review and personal approach. Facial Plast Surg 2018; 34 (01) 14-21