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Facial Plast Surg 2023; 39(06): 679-685
DOI: 10.1055/s-0042-1749408
Original Research

Histology and Long-term Clinical Outcome of Crushed Cartilage with Double-layer Gelatin Sponge Membrane for Dorsum Refinement in Primary Rhinoplasty

Riccardo Nocini
1   Unit of Oral and Maxillofacial Surgery, Department of Surgery, Dentistry, Paediarics and Gynaecology, University of Verona, Verona, Italy
,
Maryam Abdulraheem
2   Department of Otolaryngology, Ambulatory Care Center (ACC), Hamad Medical Corporation (HMC), Doha, Qatar
,
Pier-Francesco Galzignato
1   Unit of Oral and Maxillofacial Surgery, Department of Surgery, Dentistry, Paediarics and Gynaecology, University of Verona, Verona, Italy
,
Jessica Manzini
3   Azienda Ospedaliera Universitaria Integrata (AOUI) Policlinico GB Rossi, Verona, Italy
,
Paolo Bernardi
4   Unit of Human Anatomy, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
,
Giamaica Conti
4   Unit of Human Anatomy, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
,
Andrea Sbarbati
4   Unit of Human Anatomy, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
,
Salvatore Chirumbolo 
4   Unit of Human Anatomy, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
,
Dario Bertossi
5   Unit of Otorhinolaryngology, Department of Surgery, Dentistry, Paediarics and Gynaecology, University of Verona, Verona, Italy
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Abstract

This article demonstrates the ability to use autologous crushed cartilage grafts in rhinoplasty with rapid recovery and optimal nasal functionality without any tissue damage and allows its rapid rejuvenation. Eligible patients underwent primary rhinoplasty using autologous crushed cartilage graft followed by microscopy imaging of the grafted tissue after recovery. Tissue and cytological analysis using optical microscopy, transmission electronic microscopy (TEM), and scanning electronic microscopy (SEM) showed complete viability of chondrocytes, formation of new collagen fibers, neo-perichondrium, neo-angiogenesis, and exhibiting optimal aesthetic outcome. The surgical approach is easy to perform, feasible, and less time-consuming, with excellent tissue rejuvenation and rapid recovery.

Keywords

crushed cartilage - histology - rhinoplasty - nasal dorsum - surgery

Ethical Approval

All procedures performed involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.




Publication History

Article published online:
15 February 2023

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