From the TAŞ Aesthetic Surgery Clinic.
Plast Reconstr Surg. 2021 Apr 1;147(4):600e-606e. doi: 10.1097/PRS.0000000000007794.
Free diced cartilage smaller than 0.2 mm in diameter to smoothen the nasal dorsum is a well-known procedure. However, creating smaller diced cartilage takes a really long time. In contrast, the free diced cartilage technique has some visibility problems, especially in thin-skin patients, although a fine job is done to chop the cartilage. The author aimed to present the "ultra diced cartilage graft" and the way to achieve it, to eliminate the problems of diced cartilage during rhinoplasty, and compare it with free diced cartilage grafting technique.
Between April of 2015 and December of 2018, the ultra diced cartilage graft technique in 104 patients and the free diced cartilage graft technique in 113 patients were used to smoothen the dorsum or augment the radix/dorsum. Operation records, rhinoplasty outcome evaluation questionnaire, palpation test, and evaluation of the immediate postoperative photographs on the table with postoperative 1-year postoperative photographs by two independent blinded plastic surgeons were analyzed.
Ultra diced cartilage seemed superior to free diced cartilage grafting with regard to graft visibility and resorption.
Ultra diced cartilage graft is an effective and easily reproducible technique in rhinoplasty. There is no extra cost, and it is the easiest and fastest way to have this perfectly pliable cartilage have no dead space. The ultra diced cartilage grafting technique should be known by all plastic surgeons to achieve fineness in rhinoplasty.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
将直径小于 0.2 毫米的游离丁状软骨切碎以平滑鼻背是一种众所周知的方法。然而，制作更小的丁状软骨需要花费很长时间。相比之下，游离丁状软骨技术存在一些可见性问题，尤其是在薄皮患者中，尽管软骨的切碎工作做得很精细。作者旨在介绍“超丁状软骨移植物”及其制作方法，以消除鼻整形术中丁状软骨的问题，并将其与游离丁状软骨移植技术进行比较。
2015 年 4 月至 2018 年 12 月，104 例患者采用超丁状软骨移植技术，113 例患者采用游离丁状软骨移植技术，用于平滑鼻背或抬高鼻根/鼻背。分析手术记录、鼻整形术后评估问卷、触诊试验以及两位独立盲法整形医生对术后即刻、术后 1 年的照片评估。
在移植物的可见性和吸收率方面，超丁状软骨似乎优于游离丁状软骨移植。
超丁状软骨移植是一种有效的、易于复制的鼻整形技术。它没有额外的费用，而且是使这种柔韧性极佳的软骨没有死腔的最简单、最快的方法。所有的整形外科医生都应该了解超丁状软骨移植技术，以实现鼻整形术的精细化。
临床问题/证据水平：治疗性，III 级。
