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Article Type

Original Study

Abstract

Objective The aim was to compare clinical outcome and fate of solid cartilage versus diced cartilage in fascia in augmentation rhinoplasty. Back ground Augmentation rhinoplasty can be achieved through many different techniques and materials. There are many different implantable materials available, both autologous and nonautologous. The major limitation of nonautologous material is the limited biocompatibility, which contributes to allergic reaction, excursion, displacement, and infection. Patients and methods This study was conducted in combination of Plastic Surgery and Burn Department of Mansoura University and Plastic Surgery Department of Menoufia University during the period from December 2012 to November 2015. It included 14 patients who underwent augmentation rhinoplasty, aged from 18 to 35 years, with mean ± SD age of 25.7 ± 6 years. In total, five (35.7%) patients were female and nine (64.3%) patients were male. Patients were divided into two groups. Group I underwent augmentation rhinoplasty by solid cartilage graft (septal, conchal, or rib). It included seven patients, with five (71.5%) male and two (28.5%) female patients, with mean ± SD age of 24.5 ± 6 years. Group II underwent augmentation rhinoplasty by diced cartilage graft enveloped in fascia (deep temporal fascia). It included seven patients, with four (57%) male and three (43%) female patients, with mean ± SD age of 27 ± 5 years. Results A total of five (35.7%) patients were female and nine (64.3%) of them were male. Overall, six (42.8%) patients underwent primary rhinoplasty, six (42.8%) patients secondary rhinoplasty, and two (14.2%) tertiary rhinoplasty. In group I, 43% of the patients had satisfactory (excellent) results, 14.25% of patients had intermediate results, and 42.75% of patients had unsatisfactory results. In group II, 71.5% of patients had satisfactory (excellent) results, 14.25% had intermediate results, and 14.25% had unsatisfactory results. Conclusion Diced cartilage graft is becoming a common place in rhinoplasty. The diced cartilage warped in autogenous fascia has good results, with minimal drawbacks, in comparison with solid cartilage.

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