Facial plast Surg 2019; 35(01): 053-057
DOI: 10.1055/s-0039-1677802
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Replacement of the Nasal Dorsum with a Diced Cartilage Glue Graft

Abel-Jan Tasman
1  ENT, Facial Plastic Surgery, Cantonal Hospital St. Gallen, St. Gallen, Switzerland
› Author Affiliations
Further Information

Publication History

Publication Date:
13 February 2019 (online)

Abstract

The reconstruction of the nasal dorsum after a hump resection is challenging if narrowing of the nose is to be avoided, the nasal skin is very thin, and the nasal bones are short. This report describes the replacement of the bony and cartilaginous nasal dorsum after resection with an anatomically shaped dorsal replacement graft of diced cartilage in fibrin glue. The technique is illustrated with a clinical case and sonographic morphometry of the nasal dorsum and tip. A modification of the diced cartilage glue graft for thin-skinned patients is presented.