Physical Address
304 North Cardinal St.
Dorchester Center, MA 02124
Dorsal Nasal Augmentation With Fascia Overlying Crushed Cartilage (Sandwich Technique)
The Problem
Dorsal nasal augmentation is frequently needed in many secondary and some primary rhinoplasty patients.
The Background
The autogenous cartilage graft is commonly utilized in augmentation of dorsal nasal deficiencies. Historically there has been an unwritten agreement to count the septal cartilage as the first choice for minimal dorsal augmentation and the costal cartilage as the first option for major dorsal reconstructions. Despite numerous advantages of autologous cartilage grafts, there seem to be some potential limitations that have led to the advent of many techniques and modifications in the application of cartilage grafts. Warping is a frustrating phenomenon in all cartilage grafts, especially in costal cartilage that may substantially affect long term outcomes of the surgery. Visible edges and unpredictable resorption are other unwanted results of cartilage grafts. Many approaches have been advocated to overcome these inherent issues. Crushing the cartilage, using Kirshner wire inside the costal graft, irradiation, and wrapping the diced cartilage with fasciae are some common methods to prepare grafts. Crushed cartilage covered by fascia is a relatively simple technique that may alleviate some limitations of more complex techniques, and may be effectively used in minimal to moderate dorsal defects.
You're Reading a Preview
Become a Clinical Tree membership for Full access and enjoy Unlimited articles
If you are a member. Log in here