BACKGROUND: Augmentation rhinoplasty is performed to correct saddle nose deformity both closeand open approaches are used for augmentation, each having its oven merits and demerits. A widevariety of graft material i.e autologus cartilage, bone and synthetic materials are used, each having itsown advantages and disadvantages, we want to introduce a new graft material to the armamentarium,which is easily available and not associated with a second site operating morbidity.OBJECTIVES: To document the long-term advantages and disadvantages of inferior turbinate graftsused to correct saddle nose deformity. Additionally, to evaluate functional improvement and cosmeticsatisfaction with the use of inferior turbinate bone as a new graft material.MATERIAL & METHODS: it is a Retrospective chart review study conducted in Department ofOtorhinolaryngology and Head & Neck Surgery, Saidu Group of Teaching Hospitals Saidu Sharif Swatand Hayat Medical Complex Peshawar from July 2005 to July 2013. Data was collected of all patientswho underwent closed augmentation rhinoplasty for saddle nose deformity. Data was reviewed for ageand gender of the patient, aesthetic assessment from patient as well as surgeon perspective and thecomplications of the surgery. An autologous demucosalized inferior turbinate bone graft was used as agraft material. Photo documentation were obtained before surgery, during surgery and after two weeks,three months, six months and one year.RESULTS: Out of 30 patients, 19 (63%) were male and 11 (37%) were female. Twenty one (70%)were in age group 20-29, 8 (26%) in age group 30-39 & one (4%) were in age group 40 -49 years. Only2 of the 30 patients were dissatisfied with the overall outcome. Twenty Three (77%) were extremelysatisfied, 07 (23%) were satisfied Table 03. In terms of function, ten (34%) experienced excellent reliefin nasal obstruction, 9 (30%) moderate relief, 7(24%) mild relief, and four (13%) noted no difference.Regarding cosmesis, twenty (67%) noted excellent improvement, four (13%) moderate improvement,four (13%) mild improvement, and two (6 %) noted no significant change. One (3%) patient reportedcyst formation at the dorsum 6 year after the operation. He was explored and managed via openrhinoplasty approach.The indication of augmentation rhinoplasty was nasal deformity along with nasal obstruction in 21(70%) patients whereas 09 (30%) patients requested for cosmetic reasons only.CONCLUSION: The inferior turbinate bone is a viable graft for augmenting saddle nose deformity.Moreover, it maintains dorsum shape and needs little remodeling. The graft is easy to harvest, prepare,and place and can be used without requiring a second operative site.KEY WORDS: Saddle nose deformity, Augmentation rhinoplasty, autologous inferior turbinate graft.
Clinical Analysis of Augmentation Rhinoplasty with Tutoplast-Processed Costal Cartilage
