Aesthetic Plastic Surgery

, Volume 41, Issue 1, pp 140–145 | Cite as

Dorsal Onlay with Diced Homologous Processed Rib Cartilage Grafts

  • Peter J. F. M. Lohuis
  • Anil Joshi
  • Gregor M. Bran
  • Frank R. Datema
  • Lenka VermeerenEmail author
Original Article Rhinoplasty



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.


We present a series of nine cases that were performed using diced irradiated homologous rib cartilage as an onlay graft.


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.


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.

Level of Evidence IV

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Rhinoplasty Dorsal onlay Cartilage grafts Turkish delight 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.


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Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2016

Authors and Affiliations

  • Peter J. F. M. Lohuis
    • 1
  • Anil Joshi
    • 1
  • Gregor M. Bran
    • 2
  • Frank R. Datema
    • 3
  • Lenka Vermeeren
    • 1
    Email author
  1. 1.Diakonessenhuis UtrechtAmsterdamThe Netherlands
  2. 2.Dr Horst-Schmidt-KlinikenWiesbadenGermany
  3. 3.Erasmus MCRotterdamThe Netherlands

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