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The Silicone Turkish Delight for Dorsal Augmentation in Rhinoplasty.
Sunil Richardson1, Rakshit Vijay Sinai Khandeparker2, Vasantha Dhara1
1Richardson's Dental and Craniofacial Hospital, No. 71, Trivandrum Highway, Chunkankadai, Parvathipuram, Nagercoil, Tamilnadu.
The Journal of Craniofacial Surgery
|October 27, 2021
Summary
This study introduces a modified Turkish delight technique for rhinoplasty dorsal augmentation using diced silicone and autologous blood. The innovative method offers improved pliability and avoids donor site morbidity, presenting a viable alternative to traditional grafts.
Area of Science:
- Plastic Surgery
- Facial Aesthetic Procedures
- Rhinoplasty
Background:
- Dorsal augmentation in rhinoplasty often requires grafts, with autogenous grafts having issues like donor site morbidity and resorption.
- The original Turkish delight technique used diced autologous cartilage, but modifications aim to use alloplastic materials.
- Silicone is a common alloplastic material due to its inertness and resorption resistance.
Purpose of the Study:
- To present a modified Turkish delight technique for dorsal augmentation in rhinoplasty.
- To evaluate the clinical stability and advantages of using diced silicone with autologous blood.
Main Methods:
- A modified Turkish delight technique was developed using diced silicone pieces mixed with autologous blood.
- The mixture was wrapped in a monolayer of Surgicel (oxidized cellulose).
- The technique was applied to 27 patients, with follow-up ranging from 24 to 60 months.
Main Results:
- The modified technique demonstrated clinically stable results in the patient cohort.
- Key advantages included improved pliability and negated risk of graft extrusion.
- No donor site morbidity was observed, unlike with conventional autologous grafts.
Conclusions:
- The modified Turkish delight technique using diced silicone offers a viable alternative for dorsal augmentation in rhinoplasty.
- It addresses limitations of autologous grafts and conventional silicone block augmentation.
- The technique provides improved aesthetic outcomes with reduced complications.
