Author(s): 1.Hannah Khan,2. Saadia Nosheen Jan
Received: 28/01/2021 | Published: 13/03/2021 | Pages: 10-14 |
Saddle nose is a commonly encountered nasal deformity which is still challenging to treat. Our aim was to determine the efficacy of type IV saddle nose deformity using combination of block and diced cartilage. Methodology: This descriptive case series was held at Plastic Surgery Department and burn unit, Mayo Hospital, Lahore from 1st March 2019 to 29th Feb 2020.A total of 60 (16 female, 44 males) patients with type 4 saddle nose admitted from outdoor department were selected for this study. The cases underwent open rhinoplasty and after raising the mucoperichondrial flaps septoplasty was done and dorsal augmentation done by using both the diced and the block cartilage. Results were assessed in the immediate post-operative period and at12 months for recurrence and dorsal deviation. The data were entered and analyzed by using SPSS-23. Results: Our study showed that use of combination of block and diced cartilage for type 4 saddle nose deformity is efficacious. Out of the 60 patients included in our study, nasal dorsum deviation was seen in only 5 (8.3%) patients, and recurrence of saddle nose was seen in 5 (8.3%) patients Conclusion: The use of combination of block and diced cartilage for augmentation of type 4 saddle nose is very effective. It provides a unique solution to saddle nose deformity by restoring the structural support and contour with minimal recurrence
1. Durbec M, Disant F. Saddle nose: classification and therapeutic management. Eur Ann Otolaryngol Head Neck Dis. 2014;131(2):99-106
2. Rabie AN, Gamal A. Saddle nose deformity: pathological grading and anatomical reconstruction. Egypt J Otolayngol. 2017:33:31-36
3. Cakmak O, Emre IE, Ozkurt FE. Identifying septal support reconstructions for saddle nose deformity: the Cakmak algorithm. J Am Med Assoc Facial Plast- Surg 2015;17:433–9.
4. Celik M, Haliloğlu T, Bayçin N. Bone chips and diced cartilage: an anatomically adopted graft for the nasal dorsum. Aesthetic PlastSurg 2004;28:8–12.
5. Liang X, Wang K, Malay S, et al. A systemic review and meta-analysis of comparison between autologous costal cartilage and alloplastic materials in rhinoplasty. J Plast Reconstr AesthetSurg 2018; 71:1164–1173
6. Shin Hyuk. Yoo; Yong Ju. Jang Rib cartilage in Asian rhinoplasty: new trends, Current Opinion in Otolaryngology & Head and Neck Surgery. 2019 ; 27( 4) : 261- 266
7. Ozturan O, Aksoy F, Veyseller B, Apuhan T, Yıldırım YS. Severe saddle nose: choices for augmentation and application of accordion technique against warping. Aesthetic Plast Surg. 2013 Feb;37(1):106-16. doi: 10. 1007/ s00266-012-0038-4. Epub 2013 Jan 9. PMID: 23299636.
8. Nuara MJ, Loch RB, Saxon SA. Reconstructive rhinoplasty using multiplanar carved costal cartilage. JAMA Facial PlastSurg 2016; 18:207–211.
9. Daniel RK. Aesthetic Plastic Surgery: Rhinoplasty. Boston, MA: Little Brown; 1993
10. Daniel RK, Calverts JW. Diced cartilage grafts in rhinoplasty surgery. PlastReconstr Surg2004; 113:2156– 21
11. VelidedeoğluH, DemirZ, SahinU, KurtayA,Erol OO. Block and surgicel-wrapped diced solvent-preserved
costal cartilage homograft application for nasal augmentation. PlastReconstr Surg.2005;115(7):2081-93
12. Cerkes¸ N, Basaran K. Diced cartilage grafts wrapped in rectus abdominis fascia for nasal dorsum augmentation. PlastReconstrSurg2016;137:43–51
13. Bullocks JM, Echo A, Guerra G, et al. A novel autologous scaffold for dicedcartilage grafts in dorsal augmentation rhinoplasty. Aesthetic PlastSurg 2011; 35: 569–579
14. Erol OO. Injection of compressed diced cartilage in the correction of secondary and primary rhinoplasty: a new technique with 12 years’ experience.Plast ReconstrSurg
15. Bashir MM, Sohail M, Khan FA, et al. A Modified Suction-Assisted Technique of Transfer of Diced Cartilage Graft to Carrier Material and Outcome of Direct Injection of Unwrapped Diced Cartilage in Rhinoplasty. J Craniofac Surg. 2017;28(4):924-927. March 2021
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