Assessment of Diced Cartilage versus Diced Cartilage with Platelet Rich Plasma in Nasal Tip Augmentation

Abstract

Background: For many years, diced-cartilage grafts have been utilized successfully to enhance the tip of the nose with exception of some cases which have skin irregularities deformities and graft resorption. This technique combining diced cartilage grafts, PRP in a chrysalis manner allows correct nasal tip augmentation with no major complications and minimal graft resorption due to the regenerative properties of the PRP.Aim: To compare the outcome of using diced cartilage only or diced cartilage with PRP technique in nasal tip augmentation.Methods: The study was conducted on 24 patients in Otolaryngology Department, Zagazig University Hospitals. Patients were divided into 2 groups: group 1: 12 patients underwent tip augmentation by diced cartilage only and group 2: 12 patient underwent tip augmentation by diced cartilage and PRP.Results: There was significant difference between both groups regarding VAS score while there was no significant difference regarding cartilage graft thickness.Conclusion: Diced cartilage with PRP technique for nasal tip augmentation may lead to improved postoperative outcomes with less pain and higher patient satisfaction without impacting graft integrity or resorption rates compared to diced cartilage only.