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Comment & Response
Jan/Feb 2014

Glued Diced Cartilage Graft for Augmentation Rhinoplasty

Author Affiliations
  • 1Department of Facial Plastic Surgery, Cantonal Hospital St Gallen, St Gallen, Switzerland
JAMA Facial Plast Surg. 2014;16(1):67-68. doi:10.1001/jamafacial.2013.2616

In reply I am pleased to respond as the surgeon who developed the original technique on which Dr Baker’s report1 was based. We refined our technique and presented it well before the publication by Bullocks et al2 and also demonstrated it in an online video (http://archfaci.jamanetwork.com/multimediaPlayer.aspx?mediaid=5132635). My original article3 did reference Dr Bullocks’s 2011 publication, and it is appropriate to recognize any other presentations that have been made. The procedures are different in significant ways, however. Both techniques are based on bonding of diced cartilage with glue. Distinct differences are the use of fibrin glue (Tisseel) instead of autologous platelet gel and, more important, the preparation of the graft on the table using a variety of molds, as opposed to injecting the cartilage and bonding in situ. In sum, our techniques are not the same, and we did reference previous work in our article. As to the eponym, I agree that it is often pretentious if someone names his or her own procedure, so I did not. The use of “Tasman procedure” by Dr Baker in his preliminary article was presumably simply meant to acknowledge where he learned of the procedure. I would commend Bullocks et al2 for their contributions in developing another augmentation technique.

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