title: Rib Diced Cartilage-Fascia Grafting in Dorsal Nasal Reconstruction: A Randomized Clinical Trial of Wrapping With Rectus Muscle Fascia vs Deep Temporal Fascia.
abstract: BACKGROUND
  Rib cartilage is an abundant source for cartilage grafts when significant dorsal nasal augmentation or structural support is indicated. Diced cartilage wrapped in fascia was developed to counteract warping, visibility, and displacement of rib cartilage as a dorsal solid graft. The technique for wrapping diced cartilage has evolved during the past several years.
  
  
  OBJECTIVE
  The authors compared 2 distinct fascial sleeves for wrapping rib diced cartilage in the treatment of patients who required major dorsal nasal augmentation.
  
  
  METHODS
  Thirty-six patients who planned to undergo major dorsal nasal reconstruction with diced costal rib cartilage were assigned randomly to 1 of 2 groups: the intervention group, which received grafts wrapped with rectus muscle fascia from the rib cartilage harvesting site, or the control group, which received deep temporal fascia harvested separately. Outcomes were compared between the groups.
  
  
  RESULTS
  Patients in the intervention group had significantly shorter operating times, significantly higher average satisfaction scores, and significantly shorter postoperative hospital stays than did patients in the control group.
  
  
  CONCLUSIONS
  Harvesting rectus muscle fascia for wrapping diced rib cartilage is a feasible and reliable technique in dorsal nasal reconstruction surgery. It is associated with favorable outcomes and a high level of patient satisfaction.
  
  
  METHODS
  4.
authors.affiliation: Dr As'adi is an assistant professor in the Department of Plastic and Reconstructive Surgery at St Fatima Hospital, Iran University of Medical Sciences, Tehran, Iran dr.kamran.asadi@gmail.com.
authors.forename: Kamran
authors.initials: K
authors.lastname: As'adi
authors.affiliation: Dr Salehi is an assistant professor in the Department of Surgery at Motahari Burn Hospital, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Seyed Hamid
authors.initials: SH
authors.lastname: Salehi
authors.affiliation: Dr Shoar is a research associate in the Department of Surgery at Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Saeed
authors.initials: S
authors.lastname: Shoar
mesh_terms: D000293:Adolescent; D000328:Adult; D002356:Cartilage / Q000637:transplantation*; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D007492:Iran; D007902:Length of Stay; D008297:Male; D061646:Operative Time; D017060:Patient Satisfaction; D011446:Prospective Studies; D017568:Rectus Abdominis / Q000637:transplantation*; D012225:Rhinoplasty / Q000009:adverse effects / Q000379:methods*; D012272:Ribs / Q000637:transplantation*; D013997:Time Factors; D020858:Tissue and Organ Harvesting / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult
keywords: deep temporal fascia; diced cartilage; nasal augmentation; rectus muscle fascia; wrapping