NASAL AUGMENTATION WITH TEMPORALIS FASCIA WRAPPED DICED CARTILAGE GRAFT VERSUS CLASSIC CARTILAGE GRAFT

Abstract

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 rhinoplasty. Patients were classified into 2 groups: group I (15 patients) the augmentation was done by deep temporal fascia-wrapped diced cartilage (DC-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 &six months postoperatively to assess the rate of graft resorption .
Results: We found that dorsal augmentation with both grafts had a statistically significant effect on nasofrontal 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 Temporalis fascia- wrapped diced cartilage graft technique ‘Turkish Delight’ are: more easy, adjustable graft volume, good handling , effective, better results and less morbidity of open rhinoplasty.
Conclusion: We conclude that the technique of using temporalis fascia –wrapped diced cartilage “Turkish Delight” offers good aesthetic results in augmentation of dorsal nasal deformities when compared with classic cartilage technique. Also decrease the need for revision rhinoplasty.
Keywords: Turkish Delight, Rhinoplasty, Dorsal nasal deformity.