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. |
