31 / 86
Five patients have undergone dorsal augmentation
using diced septal, auricular, or costal cartilage solidi-
fied using tissue sealant, and no resorption of the
grafts have been observed, with the longest follow-up
of 9 months. Compared with the patients I treated
using diced cartilage contained within a fascial tube,
the patients treated using diced cartilage and tissue
sealant appear to have considerably less long-term
edema of the nose. This may be related to a more rapid
incorporation of the graft by early revascularization of
the diced cartilage.
Accepted for Publication:
March 18, 2012.
Published Online:
June 18, 2012. doi:10.1001
/archfacial.2012.494
Correspondence:
Shan R. Baker, MD, Facial Plastic and
Reconstructive Surgery, University of Michigan–Center
for Facial Cosmetic Surgery, 19900 Haggerty Rd, Ste 103,
Livonia, MI 48152
(shanb@med.umich.edu).
Financial Disclosure:
None reported.
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A
B
C
D
E
F
Figures 5.
Preoperative views (A, C, and E) and 9 months following (B, D,
and F) costal cartilage L-strut reconstruction and diced cartilage dorsal graft.
ARCH FACIAL PLAST SURG/VOL 14 (NO. 6), NOV/DEC 2012
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