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First-Time Use of Diced Cartilage Glue Grafts for Post Trauma Orbital Rim Reconstruction
Akhil Nair1, Mark McRae1,2,3, Matthew McRae1,2,3
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Plastic Surgery (Oakville, Ont.)
|July 14, 2025
Summary
The diced cartilage glue graft technique, typically used in rhinoplasty, was successfully adapted for orbital rim reconstruction after craniofacial trauma. This innovative approach improved contouring and aesthetic outcomes for supraorbital irregularities.
Area of Science:
- Plastic Surgery
- Craniofacial Reconstruction
- Biomaterials in Surgery
Background:
- Diced cartilage glue graft is a standard technique for rhinoplasty and nasal augmentation.
- Supraorbital irregularities can occur after craniofacial trauma and reconstruction.
- Existing methods for orbital rim reconstruction may have limitations in achieving optimal aesthetic results.
Purpose of the Study:
- To report the novel application of the diced cartilage glue graft technique for superomedial orbital rim reconstruction.
- To evaluate the efficacy and aesthetic outcomes of this technique in managing post-traumatic supraorbital irregularities.
- To assess the adaptability of the diced cartilage glue graft for complex orbital contouring.
Main Methods:
- A 52-year-old male patient with supraorbital irregularities post-craniofacial trauma was treated.
- The diced cartilage glue graft technique was employed for superomedial orbital rim reconstruction.
- Cartilage fragments were mixed with fibrin glue to create a cohesive, malleable graft.
Main Results:
- The diced cartilage glue graft technique was successfully utilized for orbital rim reconstruction.
- The procedure effectively resolved supraorbital irregularities and achieved seamless contouring.
- Enhanced aesthetic results were observed following the reconstruction.
Conclusions:
- The diced cartilage glue graft technique is a viable and effective method for orbital rim reconstruction.
- This technique offers excellent contouring capabilities for addressing supraorbital deformities.
- The study highlights a novel application of a known surgical technique with promising aesthetic benefits.
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