Dorsal Augmentation with Diced Conchal Cartilage Wrapped in Retroauricular Fascia

Aesthetic Plastic Surgery
Gianluca CampiglioMarco Klinger

Abstract

Dorsal augmentation is of primary importance to shape an ideal nose. Although costal cartilage is still used for this purpose, diced cartilage grafts wrapped in autogenous fascia became more and more popular in recent decades. In this paper, the authors report their experience with a new combination made by diced conchal cartilage wrapped in retroauricular fascia in primary and secondary cases. The clinical records of the first 19 patients to undergo dorsal augmentation with this technique were reviewed. The entire concha has been harvested and, once diced, wrapped in a sleeve of retroauricular fascia obtained using the same incision. Quilting reabsorbable sutures closed the mastoid dead space and prevented the risk of hematoma. The graft has been used in all the cases through a closed approach. The use of diced cartilage is nowadays considered one of the best options among the available procedures for dorsal augmentation. Diced conchal cartilage wrapped in posterior auricular fascial graft is a new, simple and safe procedure that eliminates the necessity of a secondary donor site (temple or thorax), speeds up the operation and leaves a well-concealed scar behind the ear. Its main disadvantages toward costal diced cartilage wra...Continue Reading

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Sep 15, 2015·Plastic and Reconstructive Surgery·Nazim Cerkes, Karaca Basaran
Mar 28, 2017·Aesthetic Plastic Surgery·Darryl James Hodgkinson, Pedro Miguel Valente

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Citations

May 30, 2019·Aesthetic Plastic Surgery·Jong Sook Yi, Hong Ryul Jin
Aug 2, 2019·The Journal of Craniofacial Surgery·Leandro Eduardo KlüppelRafaela Scariot
Sep 6, 2020·The Journal of Craniofacial Surgery·Hong DuXiaolei Jin
Aug 7, 2021·Facial Plastic Surgery & Aesthetic Medicine·Jiaqi LiRu-Lin Huang

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