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Hindi Deep Temporalis Fascia blanketing supra-SMAS (Superficial musculoaponeurotic) layer versus sub-SMAS layer dissection and Preservation in preventing nasal dorsal irregularities in Arabic Thick Patients
Mohammed Saad Aldin Aly Elsayed
King Abdullah Medical City, Saudi Arabia
: J Clin Exp Dermatol Res
Abstract
Background: Rhinoplasty is a complex surgical procedure used to correct nasal deformities. The main aim of this procedure is to improve the function and aesthetic aspect of the nose enhancing facial harmony and the symmetry of the nose. It is considered as one of the most challenging operations in the field of Otolaryngology practice. In primary rhinoplasty, the two common techniques used are sub superficial musculoaponeurotic system (Sub- SMAS) layer dissection and Supra SMAS deep Temporalis Fascia (DTF) blanketing for prevention of dorsal nasal irregularities in thick skin Arabic patient. The aim of this study is to compare the irregularity of the nasal dorsum after rhinoplasty between (DTF) blanketing supra SMAS layer and (Sub-SMAS) layer dissection and preservation in primary thick skin Arabic rhinoplasty surgery. Methods: The study was approved by institutional review board (IRB). A retrospective chart study was conducted on (64) patients who presented to (ENT Out Patient Department) and underwent primary rhinoplasty at tertiary care, Saudi Arabia. Patients were divided equally into2 groups,50%(32) Patients underwent (DTF)blanketing .and 50%(32)Patients underwent(Sub-SMAS) layer dissection. Data was collected by observing the preoperative and Postoperative dorsal aesthetic lines symmetry outcomes. Data were tabulated using Microsoft excel sheet, SPSS used for Statistical analysis. Comparison between groups made by Student’s, t-test and Chi square test for categorical values.
Biography
Dr. Mohammed Saad Aldin Aly Elsayed, MD Honorary Assistant professor at the faculty of medicine, the department otorhinolaryngology, head and neck surgery and member of the rhinoplasty society of Europe and pan Arabic society.
