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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.
REFERENCES
1. Sheen JH. The ideal dorsal graft: a continuing quest.
Plast Reconstr Surg
. 1998;
102(7):2490-2493.
2. Erol O¨ O. The Turkish delight: a pliable graft for rhinoplasty.
Plast Reconstr Surg
.
2000;105(6):2229-2243.
3. Elahi MM, Jackson IT, Moreira-Gonzalez A, Yamini D. Nasal augmentation with
Surgicel-wrapped diced cartilage: a review of 67 consecutive cases.
Plast Re-
constr Surg
. 2003;111(3):1309-1321.
4. Daniel RK, Calvert JW. Diced cartilage grafts in rhinoplasty surgery.
Plast Re-
constr Surg
. 2004;113(7):2156-2171.
5. Calvert JW, Brenner K, DaCosta-Iyer M, Evans GRD, Daniel RK. Histological analy-
sis of human diced cartilage grafts.
Plast Reconstr Surg
. 2006;118(1):230-
236.
6. Yilmaz S, Erc¸o¨c¸en AR, Can Z, Yenidu¨nya S, Edali N, Yormuk E. Viability of diced,
crushed cartilage grafts and the effects of Surgicel (oxidized regenerated
cellulose) on cartilage grafts.
Plast Reconstr Surg
. 2001;108(4):1054-
1062.
7. Brenner KA, McConnell MP, Evans GRD, Calvert JW. Survival of diced cartilage
grafts: an experimental study.
Plast Reconstr Surg
. 2006;117(1):105-
115.
8. Kelly MH, Bulstrode NW, Waterhouse N. Versatility of diced cartilage-fascia grafts
in dorsal nasal augmentation.
Plast Reconstr Surg
. 2007;120(6):1654-
1659.
9. Tasman A. Diced cartilage glue: a morphometric analysis. Presented at: Ad-
vances in Rhinoplasty; May 6, 2011; Chicago, IL.
10. 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.
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
WWW.ARCHFACIAL.COM