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Related Concept Videos

Epistaxis01:30

Epistaxis

286
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
286

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Related Experiment Video

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Diced Cartilage Techniques in Rhinoplasty.

Wenfang Dong1, Ri Han2, Fei Fan3

  • 1The Twelfth Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Aesthetic Plastic Surgery
|November 3, 2021
PubMed
Summary

This review explores diced cartilage techniques in rhinoplasty, finding blood products like platelet-rich fibrin offer superior long-term results for dorsal augmentation. Further research is needed for newer cartilage preparations.

Keywords:
Blood productsDiced cartilageNonblood materialRhinoplastyWrapping materials

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Area of Science:

  • Plastic Surgery
  • Biomaterials Science
  • Regenerative Medicine

Background:

  • Diced cartilage is a common graft material in rhinoplasty for dorsal augmentation.
  • Techniques aim to improve diced cartilage stability and viability.
  • Optimal methods for diced cartilage preparation and wrapping remain debated.

Purpose of the Study:

  • To systematically review current strategies for diced cartilage techniques in rhinoplasty.
  • To evaluate various wrapping materials for diced cartilage grafts.
  • To assess the clinical outcomes and controversies associated with different techniques.

Main Methods:

  • Systematic literature review of diced cartilage techniques in rhinoplasty.
  • Analysis of wrapping materials including non-blood products and blood derivatives.
  • Evaluation of graft stability, viability, and aesthetic outcomes.

Main Results:

  • Free diced cartilage risks postoperative irregularities.
  • Non-blood materials like Surgicel and fascia lata have drawbacks (foreign body reactions, donor site morbidity).
  • Blood products (platelet-rich fibrin) show promising long-term aesthetic results; newer preparations require further study.

Conclusions:

  • Platelet-rich fibrin and concentrated growth factor offer reliable, long-term aesthetic results for diced cartilage rhinoplasty.
  • While some synthetic and processed biological materials show initial promise, inflammation concerns persist.
  • Continued research into novel diced cartilage preparations and wrapping techniques is essential.