title: Diced and crushed cartilage plus autologous fibrin matrix obtained by a simple process for dorsal augmentation of the Mestizo nose.
abstract: Several alternatives can be used for nasal dorsum augmentation. We report the use of crushed diced cartilage embedded in an autologous fibrin matrix. This construct is placed on the nasal dorsum and is gently molded according to the characteristics of each patient. Rhinoplasty and nasal dorsum augmentation were performed in 45 patients with Mestizo characteristics after a complete medical history and development of a surgical plan. A crushed diced cartilage autologous graft and an autologous fibrin matrix from peripheral blood processed using the Choukroun method was used. Pre- and postoperative photographs were taken at short- and long-term follow-up. Two separate variables were evaluated: reabsorption and irregularities. Three plastic surgeons evaluated the results, using a Likert scale: the first variable was considered very excellent in 88.9%, very good in 6.7%, good in 4.4% with no poor or very poor results. In the second variable, results were excellent in 88.9%, very good in 4.4%, good in 3.4%, and poor in 3.3% with no very poor results. Our patients carry a volume with an aesthetically pleasing contour and form with no changes over a mean follow-up period of 4 years. Long-term effectiveness continues to be the main topic of discussion; however, this method can be considered an alternative not only to augment but also to smoothen irregularities of the nasal dorsum. We used a simple method with good and stable long-term clinical results.
authors.affiliation: Department of Plastic Surgery, School of Medicine and University Hospital "Dr. José Eleuterio González," Monterrey, Nuevo León, México.
authors.forename: Yanko
authors.initials: Y
authors.lastname: Castro-Govea
authors.affiliation: Department of Plastic Surgery, School of Medicine and University Hospital "Dr. José Eleuterio González," Monterrey, Nuevo León, México.
authors.forename: Sergio
authors.initials: S
authors.lastname: Ayuzo del Valle
authors.affiliation: Department of Plastic Surgery, School of Medicine and University Hospital "Dr. José Eleuterio González," Monterrey, Nuevo León, México.
authors.forename: Victor
authors.initials: V
authors.lastname: Cervantes Kardasch
authors.affiliation: Department of Plastic Surgery, School of Medicine and University Hospital "Dr. José Eleuterio González," Monterrey, Nuevo León, México.
authors.forename: Erick
authors.initials: E
authors.lastname: Phillips Eparza
authors.affiliation: Department of Plastic Surgery, School of Medicine and University Hospital "Dr. José Eleuterio González," Monterrey, Nuevo León, México.
authors.forename: Osvaldo
authors.initials: O
authors.lastname: Vazquez Costilla
mesh_terms: D000293:Adolescent; D000328:Adult; D002356:Cartilage / Q000637:transplantation*; D004954:Esthetics; D005260:Female; D005337:Fibrin / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012225:Rhinoplasty / Q000379:methods*; D013997:Time Factors; D014182:Transplantation, Autologous / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D005337:Fibrin