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Surgical Pearls
Sept/Oct 2014

A Single Incision for Harvesting Conchal Cartilage and Temporal Fascia in Diced Cartilage–Fascia Grafts

Author Affiliations
  • 1Royal National Throat, Nose and Ear Hospital, London, England
  • 2University College London Hospitals NHS Trust, London, England
JAMA Facial Plast Surg. 2014;16(5):374. doi:10.1001/jamafacial.2014.234

Rhinoplasty surgery using diced cartilage grafts has been modified several times since its inception. The “Turkish delight” technique developed by Erol1 includes the insertion of diced cartilage wrapped in Surgicel (Ethicon Inc). However Calvert et al2 reported that graft absorption frequently ensued. Daniel3 therefore recommended the use of a deep temporal fascia wrapper creating a diced cartilage–fascia (DCF) graft instead of Surgicel.3 This modification led to grafts maintaining longer chondrocyte viability.4,5 The use of temporal fascia has the disadvantage of requiring a further incision, which is not necessary if using Surgicel or autologous tissue glue.6

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