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Corresponding Author

Mahmoud Moustafa Mahmoud Mandour

Document Type

Original Article

Abstract

Background: Contemporary rhinoplasty demands aesthetic enhancement, concealment of the nasal dorsum, and accentuation of the dorsal aesthetic lines. The procedures utilized included onlay solid cartilage graft, diced cartilage graft, deep temporal fascia, rectus abdominis fascia, and diced cartilage encased in fascia.

Aim and objectives: To assess the dorsal definition in rhinoplasty using an onlay cartilage graft and assessment of its outcome with other common techniques used for this purpose.

Patients and methods: Fifteen patients were included in this prospective investigation within the Al Azhar University Hospitals. An onlay cartilage graft was inserted in these patients to define the dorsal nasal aesthetic lines.

Results: Several anatomical measurements differed significantly among pre-operative and post-operative times: nasolabial angle (NLA) (p=0.043), tip projection (p-0.006), nasal width (p<0.001), nasal height (p=0.001), and nasofrontal angle (NFA) (p>0.001) and no statistically significant difference as regard nasal length. Regarding the complications, the graft was visible in 3(20%) patients, and warping developed in 2(13.3%) cases; otherwise, there was no extrusion, necrosis of the graft, or postoperative infection.

Conclusion: Our data suggested fruitful outcomes with low complication rates for using an onlay cartilage graft for dorsal definition in rhinoplasty. In order to conduct dorsal augmentation successfully, surgeons must be well-informed about the numerous augmentation materials and operative techniques presently accessible, as well as their respective risks, benefits, and applications.

Keywords

Dorsal Definition, Rhinoplasty, Onlay Cartilage Graft

Subject Area

Plastic surgery

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