NASAL AUGMENTATION WITH TEMPORALIS FASCIA WRAPPED DICED CARTILAGE GRAFT VERSUS CLASSIC CARTILAGE GRAFT
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Objective: The aim of this work is to compare between the use of deep temporal fascia wrapped diced cartilage graft and classic cartilage graft in nasal augmentation as regards: Graft criteria , Post operative residual deformity and the need for revision rhinoplasty. Patients and methods: The study was conducted on 30 patients with dorsal nasal deformity requiring augmentation ihmoplasly. Patients were classified into 2 groups: group I (15 patients) the augmentation was done by deep temporal fascia-wrapped dieed cartilage (DO-F). group II (15 patients) the augmentation was done by one classic cartilage technique. Post-operative follow up of all patients was performed based on clinical, postoperative photography after one & six months and Magnetic Resonance Imaging (MRI) one &ix months postoperative!}' to assess the rate of graft resorption . Results: We found Uiat dorsal augmentation with both grafts had a statistically significant effect on nasofrontul angle, nasofacial angle, dorsal projection at rhinion. mid dorsal projection and tip projection by changing their measurements toward the normal range. But the advantages of Tcmporalis fascia- wrapped diced cartilage graft technique 'Turkish Delight' arc: more easy, adjustable graft volume, good handling , effective, better results and less morbidity o|JJkh rhinopla-sly. Conclusion: We conclude that the technique of using lemporatis fascia -wrapped diced cartilage 'Turkish Delight" offers good aesthetic results in augmentation of dorsal nasal deformities when compared with classic curtilage technique. Also decrease the need for revision rhinoplasty. Keywords: Turkish Delight, Rhinoplasty, Dorsal nasal deformity.