الفهرس 
AESTHETIC RHINOPLASTYOnly 14 pages are availabe for public view
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Abstract
Background: Rhinoplasty is considered one of the most challenging operations in the plastic surgery. Aesthetic reshaping purpose of the nose can be stressing for both surgeon and patient. Different types of graft materials have been used to perform augmentation rhinoplasty. Free diced cartilage (FDC) was established in dorsal nasal rhinoplasty for better handling of irregularities as well as contour deficits of dorsal nasal outcomes. The main purpose of the present study is to assess the effectiveness of the use of FDC in dorsal tip rhinoplastic surgery and evaluation of its advantages and disadvantages using the validated Nasal obstruction symptom evaluation (NOSE) scale and the rhinoplasty outcome evaluation (ROE) questionnaire to assess nasal obstruction and patient satisfaction.
Methods: this prospective study was conducted between March 2018 and December 2019, twenty patients were included and planned for rhinoplasty using FDC to camouflage dorsal and nasal tip deformities. All patients (11males and 9 females) underwent open rhinoplasty through inverted v columellar incision, taken FDC from nasal septum.
Results: A statistical significant difference between pre- and post-operative NOSE score was found (p<0.001). Postoperative rhinoplasty outcome evaluation scores ranged from 45 to 100 with mean± SD (83.15 ± 13.22). Excellent satisfaction was the most noted in 17 patients (85%), while 2 patients (10%) reported good satisfaction and 1 patient (5%) with acceptable satisfaction.
Conclusion: it was found that the FDC technique is an effective method for camouflaging and augmentation of dorsum and tip rhinoplastic surgery for either primary or secondary rhinoplasty.