The fate of diced cartilage grafts of traumatized versus nontraumatized origin

Title

The fate of diced cartilage grafts of traumatized versus nontraumatized origin

Creator

Arslan E; Majka C; Polat A

Publisher

Aesthetic Plastic Surgery

Date

2007
2007-08

Description

Background: Diced cartilage grafts have long been used in rhinoplasty. Along with their various reported advantages, they also have some disadvantages. The irregular resorption rate of the engrafted mass is one of the major issues noted with diced cartilage grafts. An explanation for the unpredictable resorption rate has not yet been elucidated. This study aimed to determine the role of traumatized versus nontraumatized cartilage as the source of diced cartilage grafts. Methods: This study included the noses of 32 patients (19 traumatized noses and 13 nontraumatized noses) who underwent surgery using Surgicel-wrapped diced cartilage grafts. Results: The most remarkable result noted in this study was that a Surgicel-wrapped diced cartilage graft, if prepared from traumatized cartilage (in 19 patients), failed to maintain a stable long-term volume. Partial volume loss was noted in 100% of these patients. However, the rate of this partial resorption was different for every individual and could not be predicted. The highest retention of cartilage graft volume was seen primarily over the nasal osseocartilaginous junction. In nontraumatized patients, however, the engrafted mass maintained long-term volume stability. These patients evidenced no visible external irregularities, and only a few very slight imperfections were noted with finger palpation. Conclusion: Diced cartilage of traumatic origin is not recommended for any purpose. In such cases, the authors' engrafting algorithm consists of autobone or ear conchal cartilage grafts for dorsal augmentation, columellar struts from the nontraumatized part of the septum, and spreader grafts from the nontraumatized part of the septum or ear concha.

Subject

Surgery; compression; death; apoptosis; cartilage; articular-cartilage; chondrocyte apoptosis; augmentation rhinoplasty; secondary rhinoplasty; diced cartilage grafts; fascia; nontraumatized cartilage; regenerated cellulose; traumatized; viability

Format

Journal Article or Conference Abstract Publication

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

365-371

Issue

4

Volume

31

Citation

Arslan E; Majka C; Polat A, “The fate of diced cartilage grafts of traumatized versus nontraumatized origin,” NEOMED Bibliography Database, accessed December 3, 2021, https://neomed.omeka.net/items/show/8514.

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