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Advances in nasal dorsal augmentation with diced cartilage

Tasman, Abel-Jan

Current Opinion in Otolaryngology & Head & Neck Surgery: August 2013 - Volume 21 - Issue 4 - p 365–371
doi: 10.1097/MOO.0b013e3283627600
FACIAL PLASTIC SURGERY: Edited by Julian M. Rowe-Jones and Travis Tollefson

Purpose of review: The quest for the ideal method for augmenting the nasal dorsum continues to be a matter of debate, with alloplastic materials and autologous tissues each having distinct advantages. This review focuses on the use of autologous tissues, diced cartilage in particular.

Recent findings: In the western world, the preferred tissue has been autologous cartilage with diced cartilage in a sleeve of fascia having become the dominant technique in the last decade. This review highlights the characteristics of different augmentation techniques, giving particular attention to a recent modification of a diced cartilage graft, described as the Tasman technique. The technique bonds the cartilage with fibrin glue, greatly improving the ease of graft preparation and its versatility. A morphometric study has shown this graft to be stable over a 15-month follow-up period.

Summary: Using autologous tissue for nasal dorsal augmentation meets the preference of most patients and surgeons. The diced cartilage glue graft is a welcome addition to the rhinoplasty armamentarium.

Rhinology and Facial Plastic Surgery, Department of Otolaryngology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland

Correspondence to Abel-Jan Tasman, Hals-Nasen-Ohrenklinik, Kantonsspital St. Gallen, Rorschacherstr 95, CH-9007 St. Gallen, Switzerland. Tel: +41 71 494 1693; fax: +41 71 494 6179; e-mail:

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins