title: Dorsal Onlay with Diced Homologous Processed Rib Cartilage Grafts.
abstract: BACKGROUND
  Diced cartilage wrapped in fascia or modeled with tissue sealant has successfully been used as dorsal onlay grafts in rhinoplasty. The use of autologous material introduces the risk of donor site morbidity, and sometimes availability is limited.
  
  
  METHODS
  We present a series of nine cases that were performed using diced irradiated homologous rib cartilage as an onlay graft.
  
  
  RESULTS
  Good functional and cosmetic outcomes were achieved in all nine patients, and no significant resorption was seen after a mean follow-up of 20 months.
  
  
  CONCLUSIONS
  Homologous diced cartilage grafts are an attractive and well-tolerated alternative. The use of diced homologous material does not seem to lead to significant resorption. These results must be reproduced in larger series.
  
  
  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: Diakonessenhuis Utrecht, Gillis van Ledenberchstraat 3-3, 1052 TV, Amsterdam, The Netherlands.
authors.forename: Peter J F M
authors.initials: PJ
authors.lastname: Lohuis
authors.affiliation: Diakonessenhuis Utrecht, Gillis van Ledenberchstraat 3-3, 1052 TV, Amsterdam, The Netherlands.
authors.forename: Anil
authors.initials: A
authors.lastname: Joshi
authors.affiliation: Dr Horst-Schmidt-Kliniken, Wiesbaden, Germany.
authors.forename: Gregor M
authors.initials: GM
authors.lastname: Bran
authors.affiliation: Erasmus MC, Rotterdam, The Netherlands.
authors.forename: Frank R
authors.initials: FR
authors.lastname: Datema
authors.affiliation: Diakonessenhuis Utrecht, Gillis van Ledenberchstraat 3-3, 1052 TV, Amsterdam, The Netherlands. lenkavermeeren@upcmail.nl.
authors.forename: Lenka
authors.initials: L
authors.lastname: Vermeeren
mesh_terms: D000328:Adult; D066186:Costal Cartilage / Q000637:transplantation*; D004954:Esthetics; D005260:Female; D006084:Graft Rejection; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D018570:Risk Assessment; D012494:Sampling Studies; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014182:Transplantation, Autologous; D016896:Treatment Outcome
keywords: Cartilage grafts; Dorsal onlay; Rhinoplasty; Turkish delight