title: Diced Cartilage in Fascia for Major Nasal Dorsal Augmentation in Asians: A Review of 15 Consecutive Cases.
abstract: BACKGROUND
  Warping remains a primary issue in the use of autologous costal cartilage for nasal augmentation. To mitigate such issues, diced cartilage in fascia (DCIF) has been proposed as an alternative for use in rhinoplasty. The objective of this study was to assess the efficacy of DCIF in nasal dorsal augmentation for Asian patients, with particular focus on the strengths and weaknesses of this material.
  
  
  METHODS
  Fifteen patients who underwent major dorsal augmentation with DCIF during the last 2 years were retrospectively reviewed. Diced cartilage wrapped in deep temporal fascia was used.
  
  
  RESULTS
  Costal cartilage was used as the dicing material in 11 cases, while a mixture of septal and conchal cartilage was used in the other four cases. In the majority of cases, DCIF was inserted from the radix to the supratip. In 10 of the 15 cases, acceptable aesthetic and functional results were obtained; at a mean follow-up of 13.3 months, no complications were observed in these patients. In the remaining five cases, complications such as mild deviation, mild supratip depression, irregularities of the nasal dorsum, considerable resorption, and hair loss at the fascial harvesting site were observed.
  
  
  CONCLUSIONS
  This study suggests that DCIF is useful in major nasal dorsal augmentation; however, it involves certain complications. Although obvious warping can be avoided, irregularity and mild deviation may still occur, potentially requiring technical refinement.
  
  
  METHODS
  This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Boramae Medical Center, 20 Boramae-ro 5-gil, Dongjak-gu, Seoul, 07061, Korea.
authors.forename: Pona
authors.initials: P
authors.lastname: Park
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Boramae Medical Center, 20 Boramae-ro 5-gil, Dongjak-gu, Seoul, 07061, Korea. doctorjin@daum.net.
authors.forename: Hong-Ryul
authors.initials: HR
authors.lastname: Jin
mesh_terms: D000328:Adult; D044466:Asian People / Q000706:statistics & numerical data; D015331:Cohort Studies; D066186:Costal Cartilage / Q000601:surgery / Q000637:transplantation*; D004954:Esthetics; D005205:Fascia / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D055171:Nasal Cartilages / Q000601:surgery*; D059747:Nasal Surgical Procedures / Q000379:methods; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D018570:Risk Assessment; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014182:Transplantation, Autologous; D016896:Treatment Outcome; D055815:Young Adult
keywords: Diced cartilage; Fascia; Nasal dorsal augmentation; Rhinoplasty