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Surgical Pearls
AAFPRS Advances in Rhinoplasty Featured Article
Jul/Aug 2015

The Diced Cartilage Glue Graft for Radix Augmentation in Rhinoplasty

Author Affiliations
  • 1Division of Rhinology and Facial Plastic Surgery, Department of Ear, Nose, and Throat, Head and Neck Surgery, Cantonal Hospital St Gallen, Switzerland
JAMA Facial Plast Surg. 2015;17(4):303-304. doi:10.1001/jamafacial.2015.0339

Augmenting the radix is an indispensable asset to established surgical techniques when correcting the nasal dorsal profile. In selected patients, lowering the dorsum by a hump resection in combination with raising the nasion to straighten the dorsal profile may yield more aesthetically pleasing results with a strong dorsal profile line compared with lowering the dorsum to the level of the nasion.1 Patients with thin dorsal skin and narrow middle third of the dorsum in particular are at increased risk for visible irregularities after a hump resection and osteotomies. In these patients, straightening the dorsum by augmenting the radix in combination with partially reducing a hump by rasping may be considered a viable alternative to a classic hump resection. The latter typically requires osteotomies and often measures to preserve the width of the middle third of the dorsum, adding complexity to the procedure.