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Cartilage scales embedded in fibrin gel

Multiple techniques have been described for dorsal nasal augmentation in rhinoplasty. In this article, we review common surgical techniques for raising the dorsum or eliminating dorsal irregularities, by highlighting inherent advantages and disadvantages of each method. Within the past few years, th...

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Bibliographic Details
Main Authors: Kovacevic, Milos (Author) , Riedel, Frank (Author) , Bran, Gregor M. (Author)
Format: Article (Journal)
Language:English
Published: 2017
In: Facial plastic surgery
Year: 2017, Volume: 33, Issue: 2, Pages: 225-232
ISSN:1098-8793
DOI:10.1055/s-0037-1598184
Online Access:Verlag, Volltext: http://dx.doi.org/10.1055/s-0037-1598184
Verlag, Volltext: http://www.thieme-connect.de.ezproxy.medma.uni-heidelberg.de/DOI/DOI?10.1055/s-0037-1598184
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Author Notes:Milos Kovacevic, MD, Frank Riedel, MD, PhD, Jochen Wurm, MD, PhD, Gregor M. Bran, MD, PhD

MARC

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520 |a Multiple techniques have been described for dorsal nasal augmentation in rhinoplasty. In this article, we review common surgical techniques for raising the dorsum or eliminating dorsal irregularities, by highlighting inherent advantages and disadvantages of each method. Within the past few years, the use of diced cartilage grafts has become the workhorse in this field of interest. To overcome drawbacks of methods based on diced cartilage, we present a new concept for autologous augmentation, using regenerative medicine protocols. A mix of cartilage scales with cartilage pâté was embedded in platelet-rich fibrin (PRF). Since December 2015, a total of 48 patients were treated with this technique. Based on our preliminary results, cartilage scales in PRF appear to be a promising and reliable alternative to existing procedures for dorsal nasal augmentation. 
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