Stephan H, Rihani H, Dagher E, El Choueiri J. Diced cartilage in capsula based on diced cartilage in fascia technique: A case report. World J Clin Cases 2025; 13(19): 104400 [DOI: 10.12998/wjcc.v13.i19.104400]
Corresponding Author of This Article
Jad El Choueiri, School of Medicine, Humanitas University, Via Rita Levi Montalcini 4, Milan 20072, Lombardy, Italy. jad.elchoueiri@st.hunimed.eu
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Diced cartilage in capsula based on diced cartilage in fascia technique: A case report
Henri Stephan, Hady Rihani, Elie Dagher, Jad El Choueiri
Henri Stephan, Department of Plastic Surgery, Bellevue Medical Center, Mansourieh 295, Lebanon
Hady Rihani, Department of Plastic Surgery, University of Balamand, Koura 100, Lebanon
Elie Dagher, Faculty of Medicine and Medical Sciences, University of Balamand, Koura 100, Lebanon
Jad El Choueiri, School of Medicine, Humanitas University, Milan 20072, Lombardy, Italy
Author contributions: Stephan H generated the idea of the study and treated the patient; Rihani H and Dagher E performed the research and designed the study; El Choueiri J analyzed the data and revised the manuscript; all authors contributed to writing the manuscript.
Informed consent statement: Informed consent has been obtained from the patient for this paper.
Conflict-of-interest statement: The authors declare absence of any conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jad El Choueiri, School of Medicine, Humanitas University, Via Rita Levi Montalcini 4, Milan 20072, Lombardy, Italy. jad.elchoueiri@st.hunimed.eu
Received: December 19, 2024 Revised: February 3, 2025 Accepted: February 18, 2025 Published online: July 6, 2025 Processing time: 90 Days and 8.7 Hours
Abstract
BACKGROUND
The Turkish Delight technique, initially described by Erol in 2000, involves the use of diced cartilage wrapped in oxidized cellulose (Surgicel™) for nasal grafting in secondary rhinoplasty.
CASE SUMMARY
This paper presents a novel adaptation called Diced Cartilage in Capsula, where diced cartilage is wrapped in the periprosthetic capsule material formed from a previous breast augmentation procedure instead of fascia, a technique based on the Diced Cartilage in Fascia method. Utilizing autologous, biocompatible material minimizes foreign body reactions and enhances graft integration. This innovative approach demonstrates the potential for specific practices in cosmetic surgery by optimizing patient-specific resources and improving surgical outcomes.
CONCLUSION
The report compares traditional Turkish Delight applications with this new method, discussing biocompatibility, technique efficacy, and benefits in rhinoplasty.
Core Tip: This study introduces the Diced Cartilage in Capsula (DCIC) technique, an innovative adaptation of the Diced Cartilage in Fascia method. By utilizing periprosthetic capsule material instead of fascia, DCIC offers a biocompatible, autologous alternative for nasal dorsum augmentation in rhinoplasty. This approach minimizes foreign body reactions, reduces additional donor site morbidity, and enhances graft integration. The technique is particularly valuable in patients undergoing concurrent breast implant revision surgery, offering a novel way to repurpose biological material for improved surgical outcomes.
