For the author,Rollin K. Daniel, MD; diced cartilage grafts have revolutionized dorsal grafts in rhinoplasty, replacing layered septal grafts, stacked conchal grafts, and carved costal cartilage grafts. He asserts that diced cartilage wrapped in fascia is simpler to use, quicker, and aesthetically superior to solid cartilage grafts, without risks of warping, malalignment and K-wire extrusion.
Diced cartilage grafts in rhinoplasty surgery: current techniques and applications.
Dr.Rollin K. Daniel has used diced cartilage grafts in nasal surgery for more than 30 years. However, the number of cases and the variety of techniques have increased dramatically over the past 6 years.
In conclusion, the technique of diced cartilage with fascia (DC-F ) has been a useful method of dorsal reconstruction as a stand alone technique and in concert with other methods of building the dorsum. There are many permutations and surgical variations of the technique. The authors believe that proper preoperative analysis will help the surgeon to derive clear indications so that the correct graft variation is used with a clear purpose. There is no substitute for preoperative diagnosis and planning when using the DC-F graft. The technique is safe, easy to perform, has minimal morbidity, and is our favored method for addressing difficult problems in dorsal reconstruction.