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Augmentation of depressed nasal dorsum by diced cartilage graft wrapped with fascia lata
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BACKGROUND: Dorsal reconstruction and augmentation for a saddle nose or generalized under projecting nose (familial ) require some type of grafting that increase the volume, raise the radix , raise the entire dorsum ,camouflage the osseocartilaginous junction or any irregularity along the dorsum, diced cartilage graft wrapped with fascia lata used to achieve that . AIM OF THE STUDY : The purpose of the study was to assess the aesthetic and functional outcome of dorsal augmentation by diced cartilage graft wrapped with fascia lata. PATIENTS AND METHODS: Between July 2018 and May 2019. 7 patients included ,4 females and 3 males ,their age ranged between 20 to 37 years ,5 were primary and 2 secondary case rhinoplasty,2 operated by closed approach , 3 open approach and 2 of the them the graft placed by intercartilaginous incision. Subjective evaluation was done by clinical and photographic assessment during postoperative follow up period 3-12 months. RESULTS: All the patients were satisfied with the postoperative results. with improvement of aesthetic shape and respiratory function . CONCLUSION: Diced cartilage graft wrapped with fascia lata is an effective technique for nasal dorsal augmentation. KEYWORDS: Diced cartilage, fascia lata, dorsal augmentation, saddle nose