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. 2008 May;22(2):110-9.
doi: 10.1055/s-2008-1063570.

Autogenous dorsal reconstruction: maximizing the utility of diced cartilage and fascia

Jay Calvert  1 , Kevin Brenner
Affiliations

Autogenous dorsal reconstruction: maximizing the utility of diced cartilage and fascia

Jay Calvert et al. Semin Plast Surg. 2008 May.

Abstract

The problem of reconstructing the dorsum of the nose is complex and a source of frustration for both patients and surgeons. Dorsal deficiencies due to various etiologies and the need for dorsal contouring cause the plastic surgeon to look to time-honored techniques such as osseocartilaginous rib grafts while also searching for other options that may be less technically challenging and have the benefit of temporal success. Diced cartilage wrapped with deep temporal fascia is just such a method to achieve reliable dorsal reconstructions. The various ways to use diced cartilage and deep temporal fascia are discussed.

Keywords: Dorsum; cartilage grafts; diced cartilage; fascia; radix.

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Figures

Figure 1
Figure 1
Exposure of the deep temporal fascia.
Figure 2
Figure 2
Deep temporal fascia.
Figure 3
Figure 3
Deep temporal fascia and diced cartilage.
Figure 4
Figure 4
Diced cartilage and fascia as closed graft.
Figure 5
Figure 5
Case 1 Anterior posterior view preoperatively and postoperatively.
Figure 6
Figure 6
Case 1: Left lateral view preoperatively and postoperatively.
Figure 7
Figure 7
Case 1: Base view preoperatively and postoperatively.
Figure 8
Figure 8
Case 2: Anterior posterior view preoperatively and postoperatively.
Figure 9
Figure 9
Case 2: Left lateral view preoperatively and postoperatively.
Figure 10
Figure 10
Case 2: Base view preoperatively and postoperatively.
Figure 11
Figure 11
Case 3: Anterior posterior view preoperatively and postoperatively.
Figure 12
Figure 12
Case 3: Left lateral view preoperatively and postoperatively.
Figure 13
Figure 13
Case 3: Base view preoperatively and postoperatively.
See this image and copyright information in PMC

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