The Diced Cartilage Glue Graft for Nasal Augmentation Morphometric Evidence of Longevity

作者：Tasman Abel Jan^*; Diener Pierre Andre; Litschel Ralph

来源：JAMA Facial Plastic Surgery, 2013, 15(2): 86-94.

DOI：10.1001/2013.jamafacial.120

Background: A grafting technique that uses diced cartilage without fascia, which improves formability while maintaining long-term stability, would be a welcome addition to the rhinoplasty armamentarium.
Methods: A diced cartilage glue graft was recently introduced as the Tasman technique. The technique has been used by one of us (A.-J.T.) in 28 patients who were monitored clinically for 4 to 26 months. Sonographic morphometry of the graft was used in 10 patients with a maximum follow-up of 15 months, and 2 biopsies were obtained for histologic examination.
Results: Fashioning the diced cartilage glue graft reduced operating time compared with the diced cartilage fascia graft and allowed for a wide variety of transplant shapes and sizes, depending on the mold used. All grafts were used for augmentation of the nasal dorsum or radix and healed uneventfully. Sonographic cross-section measures of the grafts changed between 6% and -29%(median, -5%) in the early postoperative phase and 8% and -7% (median, -2%) between 3 and 15 months after insertion. Histologic examination of the graft biopsies revealed viable cartilage with signs of regeneration.
Conclusion: The diced cartilage glue graft may become an attractive alternative to accepted methods for dorsal augmentation, the diced cartilage fascia graft in particular. JAMA Facial Plast Surg. 2013;15(2):86-94. Published online December 24, 2012. doi:10.1001/2013.jamafacial.120

• 出版日期2013-4