Cartilage Scales Embedded in Fibrin Gel

Multiple techniques have been described for dorsal nasal augmentation in rhinoplasty. In this article, we review common surgical techniques for raising the dorsum or eliminating dorsal irregularities, by highlighting inherent advantages and disadvantages of each method. Within the past few years, th...

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Bibliographic Details
Published inFacial plastic surgery Vol. 33; no. 2; p. 225
Main Authors Kovacevic, Milos, Riedel, Frank, Wurm, Jochen, Bran, Gregor M
Format Journal Article
LanguageEnglish
Published United States 01.04.2017
Subjects
Adult
Cartilage - transplantation
Female
Fibrin
Gels
Humans
Male
Middle Aged
Platelet-Rich Plasma
Retrospective Studies
Rhinoplasty - methods
Transplantation, Autologous - methods
Young Adult
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Summary:Multiple techniques have been described for dorsal nasal augmentation in rhinoplasty. In this article, we review common surgical techniques for raising the dorsum or eliminating dorsal irregularities, by highlighting inherent advantages and disadvantages of each method. Within the past few years, the use of diced cartilage grafts has become the workhorse in this field of interest. To overcome drawbacks of methods based on diced cartilage, we present a new concept for autologous augmentation, using regenerative medicine protocols. A mix of cartilage scales with cartilage pâté was embedded in platelet-rich fibrin (PRF). Since December 2015, a total of 48 patients were treated with this technique. Based on our preliminary results, cartilage scales in PRF appear to be a promising and reliable alternative to existing procedures for dorsal nasal augmentation.
ISSN:1098-8793
DOI:10.1055/s-0037-1598184