Comparative Study between A unilateral and Bilateral Spreader Grafts with Collumellar Strut to Overcome C-shaped Crooked Nose | ||||
| International Journal of Medical Arts | ||||
| Article 8, Volume 6, Issue 10, October 2024, Page 4990-4995 PDF (1.79 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2024.264726.1917 | ||||
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| Authors | ||||
Mousa Sabry Allam  1; Osama Abd El-Raheem AlShahat2; Mohamed Hosny Khalifa1
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| 1Department of Plastic Surgery and Reconstructive Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||||
| 2Department of Plastic Surgery and Reconstructive Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt. | ||||
| Abstract | ||||
| Background: Correction of a crooked nose is one of the most difficult surgeries in rhinoplasty. Although different treatments for crooked nose surgery have been developed, the best treatment option remains debatable due to the intricacy and diversity of the deformity. Aim: This study aims to compare functional and aesthetic outcomes between a unilateral and bilateral spreader grafts with columellar strut in management of C-shaped crooked nose. Patients and Methods: Twenty patients with C-shaped deviated nose were recruited and assessed for eligibility at Al-Azhar University Hospitals [Al-Hussein and Bab El-Shaarya University Hospitals]. Patients were divided into two equal groups;[ group A] included patients treated with a unilateral spreader graft with columellar strut and[ group B] included patients treated with a bilateral spreader graft with columellar strut, follow-up was 6 months. Results: The clinical C shaped nose, the Cottle’s test and the CT nose for deviation were improved in 90% of cases in [ group B ]and 80% of cases in [group A] with no statistically significant differences between both groups. There was a statistically significant increase in the mean ROE among group B in comparison with group A [86±5.7 vs. 74.5±8.3, respectively] [P value=0.002]. Regarding the post-operative complications, nasal blockage occurred in 3 patients [15%], contact dermatitis in 5 patients [25%], and scar hypertrophy in 3 patients [15%] and under correction in 2 patients [10%] of the studied patients. Conclusion: Bilateral spreader grafts with columellar strut is superior to the unilateral spreader grafts regarding post-operative nasal assessments and the rhinoplasty outcome evaluation. | ||||
| Keywords | ||||
| C-Shaped; Deviated Nose; Columella Strut; Spreader Graft | ||||
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