What is Turkish delight? Is that cartilage from ear wrapped in fascia?

Question

Is that cartilage wrapped in fascia? And is that better then rib? What is the preference to build a bridge back up?

Philip S. Schoenfeld, MD, FACS · Answer

Turkish delight is a catchy phrase to describe a technique where finely diced cartilage is wrapped in Surgicel (an absorbable mesh) in order to augment the nasal dorsum if necessary.  I am not certain that anyone is still using Surgicel for this purpose but I believe most rhinoplasty surgeons would choose to use temporalis fascia ( a natural tissue layer covering the muscle in your temple region) along with diced cartilage to accomplish the same thing.  I have been very pleased with this technique.

Matthew Bridges, MD, FACS · Answer

The gimmicky sounding "Turkish delight" is a technique of wrapping diced cartilage in surgicel, a materual usually used to control surgical bleeding.  The results of the original study using this technique were not able to be reproduced.  The modern version of this, which is reproducible, is diced cartilage wrapped in temporalis fascia.  It does have some advantages over solid cartilage, such as less chance of warping and showing irregularities.  You should discuss the options with an experienced rhinoplasty surgeon.

Michael L. Schwartz, MD · Answer

"Turkish delight' is a technique for dorsal augmentation using diced cartilage wrapped in surgicel (an absorbable hemostatic mesh) introduced by Dr Honor Erol, a very innovative Turkish plastic surgeon.  Although it worked well in his hands other surgeons could not achieve the same results and it has largely been replaced with diced cartilage in fascia as described by Dr Daniel. It is best used for dorsal augmentation that does not require structural support. It's advantage is that it creates a smooth contour that feels natural and does not show "edges" as the skin envelope contracts over the years.

Steven Wallach, MD · Answer

A turkish delight is basically diced cartilage wrapped in fascia. This can be used and molded to augment the dorsum of the nose for some individuals.

What is Turkish delight? Is that cartilage from ear wrapped in fascia?

Answers (4)

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