RSS-Feed abonnieren
DOI: 10.1055/s-0039-1693035
Effect of Injectable Platelet-Rich Fibrin on Diced Cartilage's Viability in Rhinoplasty
Publikationsverlauf
Publikationsdatum:
15. Juli 2019 (online)
![](https://www.thieme-connect.de/media/fps/201904/lookinside/thumbnails/10-1055-s-0039-1693035_190047ts-1.jpg)
Abstract
Diced cartilage is one of the most widely used camouflage technique in rhinoplasty. Its variable resorption rate creates issues in postoperative time period. Platelet-rich fibrin is an autologous concentrated blood derivative containing growth factors that accelerate tissue healing. The authors evaluate the effect of injectable platelet-rich fibrin (I-PRF) on the viability of diced cartilage, which has been used for dorsum camouflage in rhinoplasty. Forty patients were randomly divided into two groups based on dorsal camouflage grafts: diced cartilage with I-PRF (study group) and diced cartilage without I-PRF (control group). Cartilage graft thickness was measured by linear superficial tissue ultrasound at the postoperative first week and the third month in both groups. The mean cartilage graft thickness loss between the first-week and third-month ultrasound measurements was 0.58 ± 0.21 mm in the study group and 0.82 ± 0.35 mm in the control group. There was significant volume loss in the control group. I-PRF was successful in reducing the resorption rate of diced cartilage on nasal dorsum by either increasing the viability or keeping its form. Sticky cartilage is an easily applicable and reliable technique that may be used to camouflage dorsal irregularities in rhinoplasty.
-
References
- 1 Daniel RK, Calvert JW. Diced cartilage grafts in rhinoplasty surgery. Plast Reconstr Surg 2004; 113 (07) 2156-2171
- 2 Kelly MH, Bulstrode NW, Waterhouse N. Versatility of diced cartilage-fascia grafts in dorsal nasal augmentation. Plast Reconstr Surg 2007; 120 (06) 1654-1659 , discussion 1654–1659
- 3 Erol OO. The Turkish delight: a pliable graft for rhinoplasty. Plast Reconstr Surg 2000; 105 (06) 2229-2241 , discussion 2242–2243
- 4 Sohn DS. Lecture titled with sinus and ridge augmentation with CGF and AFG. Symposium on CGF and AFG, Tokyo, Japan, June 6, 2010
- 5 Miron RJ, Fujioka-Kobayashi M, Hernandez M. , et al. Injectable platelet rich fibrin (i-PRF): opportunities in regenerative dentistry?. Clin Oral Investig 2017; 21 (08) 2619-2627
- 6 Öreroğlu AR, Çakır B, Akan M. Bone dust and diced cartilage combined with blood glue: a practical technique for dorsum enhancement. Aesthetic Plast Surg 2014; 38 (01) 90-94
- 7 Tasman AJ, Diener PA, Litschel R. The diced cartilage glue graft for nasal augmentation. Morphometric evidence of longevity. JAMA Facial Plast Surg 2013; 15 (02) 86-94
- 8 Gordon CR, Alghoul M, Goldberg JS, Habal MB, Papay F. Diced cartilage grafts wrapped in AlloDerm for dorsal nasal augmentation. J Craniofac Surg 2011; 22 (04) 1196-1199