WORLD JOURNAL OF PLASTIC SURGERY
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Volume 9, Issue 2 (2020)
WJPS 2020, 9(2): 160-165 |
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Heidari M B, Rasti M, Nadri S, Roozbehani A, Farhang Fallsh A, Mahmoudvand H. Comparison between Wrapping Dice Cartilage with Temporal Fascia and Wrapping in Alloderm for Dorsal Nasal Augmentation. WJPS 2020; 9 (2) :160-165
URL: http://wjps.ir/article-1-589-en.html
URL: http://wjps.ir/article-1-589-en.html
Mohammad Bagher Heidari1 
, Mehdi Rasti2 , Sedigheh Nadri3 , Arian Roozbehani4 , Afshin Farhang Fallsh2 , Hormoz Mahmoudvand 5
, Mehdi Rasti2 , Sedigheh Nadri3 , Arian Roozbehani4 , Afshin Farhang Fallsh2 , Hormoz Mahmoudvand 5
1- Department of General Surgery, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
2- Department of Surgery, Medical School of Isfahan University of Medical Sciences, Isfahan, Iran.
3- Department of Surgery, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
4- 4. Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran
5- Department of Surgery, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran , dmahmodvand@gmail.com
2- Department of Surgery, Medical School of Isfahan University of Medical Sciences, Isfahan, Iran.
3- Department of Surgery, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
4- 4. Student Research Committee, Lorestan University of Medical Sciences, Khorramabad, Iran
5- Department of Surgery, School of Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran , dmahmodvand@gmail.com
Abstract: (3235 Views)
BACKGROUND
Dorsal augmentation of the nose for aesthetic and reconstructive purposes is an important issue in rhinoplasty surgery. This study aimed to compare the two methods of dice cartilage wrapping for dorsal augmentation of the nose including temporalis fascia and alloderm.
METHODS
In a clinical trial study, 50 patients who needed to augment the nasal dorsum, were enrolled and randomly allocated to two equal groups. In the first group, diced cartilage graft of the patient was wrapped in temporalis fascia and in the second group, a thin sheet of alloderm was used for this purpose. After one year follow up, satisfaction of patients and the expert panel were compared in two groups. Also mean increase in dorsal height was measured and compared in two groups.
RESULTS
The mean increase of dorsal nasal height one year after surgery in the alloderm and temporalis fascia was 3.13±0.49 and 3.42±0.33, respectively and in the fascia group was significantly higher (p=0.02). The mean of patients’ satisfaction in the two groups of alloderm and temporal fascia groups was 7.48±0.92 and 8.04±0.89, respectively (p=0.03). The mean satisfaction of expert panel in the two methods was 7.56±0.81 and 7.7±0.63, respectively (p=0.5).
CONCLUSION
The use of temporal fascia for covering the diced cartilage in augmentation of nasal dorsum had better results than the alloderm. Patients satisfaction and mean dorsal height was higher in temporal fascia group.
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