DORSAL NASAL REFINEMENT USING DICED CARTILAGE GRAFTS FIXED WITH BLOOD 

Hemin Oathman Sheriff a



College of Medicine, University of Sulaimani, Kurdistan Region, Iraq. 


Submitted: 28/3/2019; Accepted: 6/11/2019; Published: 21/12/2019

ABSTRACT


Background 

The use of diced cartilage grafts in rhinoplasty is well described and it has been popularized recently for establishment and camouflaging any imperfections of the dorsal aesthetic lines and contour. 


Objectives

To establish the efficacy of pure diced cartilage grafts fixed with blood in dorsal nasal refinement or augmentation.


Patients and Methods

Twenty six rhinoplasties patients (23 primary and 3 secondary) were included in this study. At the end of the procedure, diced cartilage grafts, fixed with blood, were inserted into the dorsum of the nose for dorsal augmentation and camouflage of any imperfections. These cases were subsequently assessed clinically and photographically 3 months, 6 months, and then every 6 months till 2 years postoperatively. 


Results

At the regular follow up visits, only 3 patients had problem that required treatment. Two patients had palpable bony prominences at the keystone area, which were successfully treated by fine rasping under local anesthesia in clinic, and the other one had a small depression which was filled up. 


Conclusions

The use of diced cartilage grafts admixed with clotted blood is an elegant and powerful technique in dorsal nasal refinement and augmentation without the additional morbidity, risks and complications incurred in the use of either Surgicel® or with fascia to wrap the cartilage grafts.



KEYWORDS

 Diced cartilage grafts, Dorsal nasal refinement.