A Practical Suggestion for Prepare Dorsal Onlay Graft

Nowadays, rhinoplasty is one of the most popular surgical procedures. Dorsal contour irregularities caused by various maneuvers, such as hump resection, are a major concern in patients who have undergone rhinoplasty. The most common graft used in this case is dorsal onlay graft which is made from sliced and crushed cartilage. Ear, nose and throat specialists usually use Swester table (mayo desk) for preparing the graft, if there is no other steril metal instrument. Crushed cartilage is done on a sterile gauze or on the tables' cover, as a result cartilage may be contaminated with particules from the tables' cover and sterile gauze. The authors recommend using the steril pack of a new sterilized surgical instrument opened on the table for the slicing or crushing process. In this way, the cartilage can be spared from contamination and the loss of some cartilage to the table during slicing or crushing can be prevented. Address correspondence and reprint requests to Fatih Arslan, MD, Department of Otolaryngology, Beytepe Murat Erdi Eker State Hospital, Beytepe 06500, Ankara, Turkey; E-mail: drfatiharslan@gmail.com Received 26 July, 2017 Accepted 18 October, 2017 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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