Özet:

Purpose: The aim of the preliminary non-comperative study was to present the outcomes following the use of spongostan-wrapped diced cartilage graft for obtaining a regular dorsal contouring in 56 patients who underwent rhinoplasty. Materials and Method: We have retrospectively evaluated the charts of 56 consecutive rhinoplasty patients in which spongostan as a mold was used with diced cartilages for correcting of mild saddle deformity and preventing dorsal nasal irregularities. Clinical evaluation was made by inspection, palpation and photographic documentation. Also, a questionnaire related to patient satisfaction was sent to patients 1 year after surgery. Results: There were 26 male and 30 female patients, with ages ranging from 21 to 48 years (mean age: 34.5 years). Of the 56 patients, 32 underwent secondary rhinoplasty, while 24 were primary cases. Postoperative follow-up period was between 14 and 24 months (mean:19 months). There were no complications such as infections, foreign body reaction or migration. Most of the patients had satisfactory aesthetic results, and no apparent irregularities were observed over the nasal dorsum. The questionnaire result was considered as good in 52 (93%), fair in 3 (5.3%), and poor in 1 (1.7%) by the patients. Conclusion: As a result, we can say that spongostan wrapped diced cartilages graft seems to be a cheap, safe and effective method for obtaining a nice nasal dorsal contouring as well as for correcting and preventing of dorsal irregularities in rhinoplasty.

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