[Diced cartilage wrapped in deep temporal aponeurosis (DC-F): A new technique in augmentation rhinoplasty]

Diced cartilage rolled up in a fascia (DC-F) is a recent technique developed by Rollin K Daniel. It consists to tailor make a composite graft composed by pieces of cartilage cut in small dices wrapped in a layer of deep temporal aponeurosis. This initially malleable graft allows an effective dorsum augmentation (1 to 10 mm), adjustable until the end of the operation and even post operatively. The indications are all the primary and secondary augmentation rhinoplasties. However, the elective indications are the secondary augmentation rhinoplasties with cartilaginous donor site depletion, or when cartilaginous grafts are of poor quality (insufficient length, multifragmented...), or finally when the recipient site is uneven or asymmetrical. We report our experience of 20 patients operated in 2006 and 2007, with one year minimal follow-up. All the cases are relative or absolute saddle noses, idiopathic, post-traumatic or iatrogenic. Moreover, two patients also had a concomitant chin augmentation with DC-F. No case of displacement or resorption was noted. We modified certain technical points in order to make this technique even more powerful and predictable.