A fast and effective method of cartilage mincing: Turkish delight graft revisited

A fast and effective method of cartilage mincing: Turkish delight graft revisited Eur J Plast Surg (2003) 26:164 DOI 10.1007/s00238-003-0498-5 LETTER T O THE EDIT OR Ufuk Emekli · Ali Mezdeg ˘ i · Burcu Çelet Özden Orhan Çizmeci A fast and effective method of cartilage mincing: Turkish delight graft revisited Received: 4 January 2003 / Accepted: 13 March 2003 / Published online: 10 May 2003 © Springer-Verlag 2003 Sir: Cartilage grafting is a useful option for treating the deformities of the nasal dorsum both in primary and sec- ondary rhinoplasty [1, 4]. There are several methods of preparing the harvested cartilage for use as grafts. These include carving, crushing, and dicing, each with its own advantages and disadvantages [1, 3, 5]. The so-called “Turkish delight” cartilage grafting, introduced and pop- ularized by Erol [2], is basically characterized by the use of Surgicel (oxidized regenerated cellulose)—wrapped diced cartilage to improve the dorsal contour in rhino- plasty. Although the original “Turkish delight” graft is prepared by finely chopped cartilage tissue, the proce- dure is somewhat tedious. The use of crushed cartilage, although more readily prepared, is discouraged mainly because it may be perceptible through the nasal skin af- ter tissue resolution is complete. Here we present a practical method of preparing the Fig. 1 Use of the nasal rasps for mincing cartilage cartilage tissue to be wrapped in Surgicel. Two nasal rasps, the basic elements of any rhinoplasty set, are used. The cartilage tissue harvested from different areas (sep- fect on the future viability of the cartilage tissue. In con- tal, alar, conchal, and sometimes costal) is placed be- clusion, mince preparation of the cartilage graft by using tween the rough surfaces of the two rasps held at 90° to nasal rasps is a practical and effective method, combin- each other in a sandwichlike fashion (Fig. 1). Next the ing the rapidity of crushing and the smooth, homogene- tissue is minced by forcibly bringing the two rasps to ous texture provided by dicing. continuous abduction and adduction. The minced carti- lage tissue is further prepared as described in the original method. References A recently published comparative experimental study by Yilmaz et al. [6] demonstrated that the cartilage pre- 1. Cottle MH (1951) Nasal surgery in children. Ear Nose Throat pared by three different methods (intact, diced, crushed) Mon 30:32 survives with no statistically significant differences be- 2. Erol O (2000) The Turkish delight: a pliable graft for rhinoplas- tween the percentages of the viable cartilage tissue. The ty. Plast Reconstr Surg 105:22–29 3. Mavili ME, Safak T (1993) Use of umbrella graft for nasal tip results of this study suggest that “mincing”, a procedure projection. Aesth Plast Surg 17:163–166 similar to crushing and dicing also has no significant ef- 4. Ortiz-Monasterio F, Olmedo A, Otiz Oscoy L (1981) The use of cartilage grafts in primary esthetic rhinoplasty. Plast Reconstr Surg 67:597 U. Emekli · A. Mezdeg ˘ i · B. Ç. Özden ( ) · O. Çizmeci 5. Peer LA (1943) Diced cartilage grafts. Arch Otolaryngol Department of Plastic and Reconstructive Surgery, 38:156 Istanbul Faculty of Medicine, 6. Yılmaz S, Erçöçen AR, Can Z, Yenidünya S, Edalı N Yormuk, University of Istanbul, Instanbul, Turkey E (2001) Viability of diced, crushed cartilage grafts and the ef- e-mail: burcucelet@hotmail.com fects of Surgicel (oxidized regenerated cellulose) on cartilage Tel.: +90-532-3565468 grafts. Plast Reconstr Surg 108:1054–1060 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

A fast and effective method of cartilage mincing: Turkish delight graft revisited

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