Saddle Nose Deformity Reconstruction in Yemen: A Prospective Study of the Diced Cartilage Fascia Technique

Author:

Alsiaghi Yahia Ahmed1ORCID,Al-Shoaibi Mohammed Hasan2,Al-ajaly Mohaned Yahia1,Ghanem Ayman Mohammed1,Jowah Haitham Mohammed3ORCID

Affiliation:

1. Department of Plastic Surgery, Typical Model Hospital, Sana’a, Yemen

2. Department of Plastic Surgery, General Military Hospital, Sana’a, Yemen

3. Department of Surgery, Faculty of Medicine and Health Sciences, Sana’a University, Sana’a City, Yemen

Abstract

Abstract

Background: Saddle nose deformity is a significant challenge in conflict-affected and resource-limited settings. The diced cartilage fascia (DCF) technique, which involves wrapping diced cartilage in the fascia, has demonstrated promising results, but it remains underexplored. Objective: To evaluate the efficacy, safety, and patient satisfaction of the DCF technique for saddle nose deformity reconstruction in Yemen. Methods: This prospective case series included 30 patients who underwent nasal reconstruction using the DCF technique between January 2020 and January 2023. Outcomes were assessed through pre- and postoperative photographs, Nasal Obstruction Symptom Evaluation (NOSE) scores, Rhinoplasty Outcome Evaluation (ROE) scores, and patient interviews over a 6-month follow-up period. Results: Significant improvements in nasal shape and function were observed. The mean A-B line measurement increased from 16.75 mm to 21 mm (p < 0.001), and the mean NOSE score decreased from 52.8 to 5 (p < 0.01). Patient satisfaction was notably high, with 96.7% of patients reporting excellent satisfaction. The complication rate was 6.6%, and manageable issues, such as nasal deviation and infection. Conclusion: The DCF technique is a safe and effective method for correcting saddle nose deformity in resource-limited settings and has significant functional and esthetic improvements. Further research with larger sample sizes and longer follow-up periods is recommended to validate these findings.

Publisher

Springer Science and Business Media LLC

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