Outcomes of dorsal nasal augmentation using costochondral graft

Objective: To assess functional and aesthetic outcomes in patients having undergone dorsal nasal augmentation with costochondral graft in a tertiary care setting. Method: The single-centre, retrospective, observational study was conducted at Shifa International Hospital, Islamabad, Pakistan, and...

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Main Authors: Amna Kifayatullah, Mamoon Rashid, Saad Ur Rehman, Ibrahim Khan
Format: Article
Language:English
Published: Pakistan Medical Association 2024-05-01
Series:Journal of the Pakistan Medical Association
Subjects:
Online Access:https://jpma.org.pk/index.php/public_html/article/view/10548
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author Amna Kifayatullah
Mamoon Rashid
Saad Ur Rehman
Ibrahim Khan
author_facet Amna Kifayatullah
Mamoon Rashid
Saad Ur Rehman
Ibrahim Khan
author_sort Amna Kifayatullah
collection DOAJ
description Objective: To assess functional and aesthetic outcomes in patients having undergone dorsal nasal augmentation with costochondral graft in a tertiary care setting. Method: The single-centre, retrospective, observational study was conducted at Shifa International Hospital, Islamabad, Pakistan, and comprised data of patients who underwent dorsal nasal augmentation using costochondral graft between January 1, 2018, and December 31, 2022. Aesthetic outcomes in terms of patient satisfaction were assessed using Facial Appearance, Health-related Quality of Life and Adverse Effects scores. Data was analysed using SPSS 26. Results: Of the 46 patients, 28(61%) were males and 18(39%) were females. The overall mean age was 28.39+9.13 years. Dorsal nasal deficiency occurred secondary to congenital causes in 12(26.1%) patients, trauma 19(41.3%) and prior surgery 15(32.6%). Postoperative complication rate was 7(15%); 3(6.5%) had recipient site infection and 2(4.3%) had rib graft resorption. Besides, 1(2.2%) patient reported pain 2 months postoperatively and 1(2.2%) had hypertrophic scarring. Patient satisfaction with the outcome was noted in all the 10 parameters analysed. Most commonly reported problem was that the nose was ‘looking thick/swollen’ by 12(26.1%) patients, but the issue resolved during 1-year follow-up. Conclusion: Costochondral graft was found to be an ideal material for dorsal nasal augmentation, with high patient satisfaction rate. Key Words: Costal cartilage, Patient satisfaction, Rhinoplasty.
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spelling doaj-art-f4a6d8bfebb247e2ba17eb4c0cbdb9b12025-08-20T02:41:28ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822024-05-0174610.47391/JPMA.10548Outcomes of dorsal nasal augmentation using costochondral graftAmna Kifayatullah0Mamoon Rashid1Saad Ur Rehman2Ibrahim Khan3Department of Plastic Surgery, Shifa International Hospital, Islamabad, PakistanDepartment of Plastic Surgery, Shifa International Hospital, Islamabad, PakistanDepartment of Plastic Surgery, Shifa International Hospital, Islamabad, PakistanDepartment of Plastic Surgery, Shifa International Hospital, Islamabad, Pakistan Objective: To assess functional and aesthetic outcomes in patients having undergone dorsal nasal augmentation with costochondral graft in a tertiary care setting. Method: The single-centre, retrospective, observational study was conducted at Shifa International Hospital, Islamabad, Pakistan, and comprised data of patients who underwent dorsal nasal augmentation using costochondral graft between January 1, 2018, and December 31, 2022. Aesthetic outcomes in terms of patient satisfaction were assessed using Facial Appearance, Health-related Quality of Life and Adverse Effects scores. Data was analysed using SPSS 26. Results: Of the 46 patients, 28(61%) were males and 18(39%) were females. The overall mean age was 28.39+9.13 years. Dorsal nasal deficiency occurred secondary to congenital causes in 12(26.1%) patients, trauma 19(41.3%) and prior surgery 15(32.6%). Postoperative complication rate was 7(15%); 3(6.5%) had recipient site infection and 2(4.3%) had rib graft resorption. Besides, 1(2.2%) patient reported pain 2 months postoperatively and 1(2.2%) had hypertrophic scarring. Patient satisfaction with the outcome was noted in all the 10 parameters analysed. Most commonly reported problem was that the nose was ‘looking thick/swollen’ by 12(26.1%) patients, but the issue resolved during 1-year follow-up. Conclusion: Costochondral graft was found to be an ideal material for dorsal nasal augmentation, with high patient satisfaction rate. Key Words: Costal cartilage, Patient satisfaction, Rhinoplasty. https://jpma.org.pk/index.php/public_html/article/view/10548Costal cartilagePatient satisfactionRhinoplasty
spellingShingle Amna Kifayatullah
Mamoon Rashid
Saad Ur Rehman
Ibrahim Khan
Outcomes of dorsal nasal augmentation using costochondral graft
Journal of the Pakistan Medical Association
Costal cartilage
Patient satisfaction
Rhinoplasty
title Outcomes of dorsal nasal augmentation using costochondral graft
title_full Outcomes of dorsal nasal augmentation using costochondral graft
title_fullStr Outcomes of dorsal nasal augmentation using costochondral graft
title_full_unstemmed Outcomes of dorsal nasal augmentation using costochondral graft
title_short Outcomes of dorsal nasal augmentation using costochondral graft
title_sort outcomes of dorsal nasal augmentation using costochondral graft
topic Costal cartilage
Patient satisfaction
Rhinoplasty
url https://jpma.org.pk/index.php/public_html/article/view/10548
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AT saadurrehman outcomesofdorsalnasalaugmentationusingcostochondralgraft
AT ibrahimkhan outcomesofdorsalnasalaugmentationusingcostochondralgraft