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Crushed Septal Cartilage-Covered Diced Cartilage Glue (CCDG) Graft: A Hybrid Technique of Crushed Septal Cartilage

  • Original Article
  • Rhinoplasty
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Abstract

Background

Diced cartilage glue (DG) grafts have been widely used in dorsal augmentation but can induce dorsal irregularities. The authors evaluated the postoperative feasibility of a crushed septal cartilage-covered diced cartilage glue (CCDG) graft.

Methods

The medical records of 38 patients who underwent dorsal augmentation rhinoplasty with an open approach were retrospectively reviewed. DG graft was used in 18 patients (47.4%), and CCDG graft was used in 20 patients (52.6%). Surgical outcomes were assessed by comparing anthropometric data on facial photographs and satisfaction questionnaires on aesthetic outcomes and palpable irregularities on nasal dorsum before and after surgery.

Results

Both groups showed successful aesthetic outcomes. Dorsal height, radix height, and tip projection were all increased postoperatively in both groups. Tip rotation did not significantly increase (p > 0.05). Both groups showed similar outcomes in terms of aesthetic satisfaction but a significant difference in palpable irregularity. CCDG graft group showed significantly better (p = 0.04) satisfaction with dorsal irregularities (4.15 ± 0.75) than the DG graft group (3.56 ± 0.92). CCDG graft group also showed significantly better mean values (p = 0.048) in the degree of irregularity by two surgeons (3.85 ± 0.65) than the DG graft group (3.25 ± 0.97). No patient had significant complaints about irregular dorsum, and none of them underwent a revision rhinoplasty.

Conclusion

CCDG graft can be a complementary option for avoiding postoperative irregular dorsum complications.

Level of evidence IV

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.

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Fig. 1

modified by a No. 15 blade for an equilibrium of the force exposed during crushing.

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Authors and Affiliations

  1. Department of Otorhinolaryngology-Head and Neck surgery, College of Medicine, Yeungnam University, 170, Hyeonchung-ro, Nam-gu, Daegu, 42415, Republic of Korea

    Young-Ha Lee, Yoon Seok Choi, Chang Hoon Bae, Si-Youn Song, Yong-Dae Kim & Hyung Gyun Na

  2. Regional Center for Respiratory Diseases, Yeungnam University Medical Center, Daegu, Republic of Korea

    Yong-Dae Kim

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  1. Young-Ha Lee
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  2. Yoon Seok Choi
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Correspondence to Hyung Gyun Na.

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

Ethical approval

This study was approved by the Institutional Review Board (IRB) of Yeungnam University Medical Center (IRB No. 2021-02-016).

Informed Consent

Written informed consent for the use of cartilage was obtained from patients.

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Lee, YH., Choi, Y., Bae, C. et al. Crushed Septal Cartilage-Covered Diced Cartilage Glue (CCDG) Graft: A Hybrid Technique of Crushed Septal Cartilage. Aesth Plast Surg 46, 2428–2437 (2022). https://doi.org/10.1007/s00266-021-02657-x

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  • DOI: https://doi.org/10.1007/s00266-021-02657-x

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