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September 14, 2026Aesthetic Surgery Journal Open ForumOpen Access

Diced Costal Cartilage Combined With Tissue Adhesive in Rhinoplasty: How I Do It and Why

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Authors

JLJin-Liang LeeKCKo-Chang ChangSCShih-Han Chen

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Overview

Cohort study reveals stable dorsal height and absence of warping in rhinoplasty patients, indicating diced cartilage with tissue adhesive is a reliable reconstructive option.

Key Points

  • To evaluate the surgical technique, clinical efficacy, and complication rates of dorsal nasal augmentation using diced costal cartilage combined with tissue adhesive.
  • Retrospective evaluation of 476 patients undergoing rhinoplasty with diced autologous costal cartilage or irradiated homologous costal cartilage (IHCC) combined with tissue adhesive between 2022 and 2023.
  • Surgical approach featured precise pocket dissection, injectable cartilage-adhesive graft delivery, and external splint molding.
  • Outcomes and safety profiles were assessed using postoperative physical examinations, serial photography, and patient feedback.
  • In 298 patients with over 6 months of follow-up (mean, 10.5 months), zero cases of clinically evident graft warping, dorsal height loss, or graft resorption were observed.
  • Approximately two-thirds of the cohort were revision surgeries and nearly three-fourths were classified as complicated deformities.
  • Postoperative complications were rare and managed successfully using minimally invasive procedures.

Cite This Study

Lee et al. (2026) studied this question.

synapsesocial.com/papers/6aa7b3bf0926e14a848b2df1https://doi.org/10.1093/asjof/ojag176
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Best Cut: Evaluating Block, Sliced, and Diced Cartilage in Dorsal Augmentation Rhinoplasty2025
  2. 2Nasal dorsal augmentation using diced cartilage with and without semi-circumferential fascia: technical note and retrospective monocentric study2026
  3. 3Diced Cartilage Grafts Semi-wrapped in Rectus Abdominis Fascia for Nasal Dorsum Augmentation2025
  4. 4Layered Composite Dorsal Onlay Implant for Augmentation Rhinoplasty2024
  5. 5Modern methods of dorsal augmentation rhinoplasty2026