Various Applications of Deep Temporal Fascia in Rhinoplasty
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Purpose: In Asians, nasal dorsal and tip augmentation procedures are usually performedat the same time, and most dorsal augmentations use implants. In this study, dorsal augmentation was given by various types of grafts using deep temporalfascia (DTF) for primary rhinoplasty cases using only autologous tissues to improvethe curve of hump noses and depressions. For secondary rhinoplasty cases, DTF was used to improve implant demarcation and transparency. Such effectivenessand utility of DTF is discussed. Materials and Methods: Between May 2009 and May 2012, we performed rhinoplasty using DTF in 175 patients, which included78 secondary surgery patients and 128 female patients. The mean age of the patients was 31.4. DTF was utilized with various types of grafts without implantsto improve the curve in dorsal augmentation of hump noses and cases that required curve betterment. DTF was used to improve implant demarcation and transparency for secondary cases. Results: The mean follow-up duration was 1.5 years. Of the 175 patients, 81% were satisfied with the natural correction achieved, whereas 19% complained of undercorrection, which was resolved with additional surgery. No specific complications such as nasal inflammation or contractures were observed. Conclusion: DTF can be used with various graft methods for correctionof radix, dorsal, and tip irregularities. It can also be used to correct implant contour transparency in secondary rhinoplasty and thus may be considered as a useful supplementary graft material in rhinoplasty for Asians.
Abstract
Purpose: In Asians, nasal dorsal and tip augmentation procedures are usually performedat the same time, and most dorsal augmentations use implants. In this study, dorsal augmentation was given by various types of grafts using deep temporalfascia (DTF) for primary rhinoplasty cases using only autologous tissues to improvethe curve of hump noses and depressions. For secondary rhinoplasty cases, DTF was used to improve implant demarcation and transparency. Such effectivenessand utility of DTF is discussed. Materials and Methods: Between May 2009 and May 2012, we performed rhinoplasty using DTF in 175 patients, which included78 secondary surgery patients and 128 female patients. The mean age of the patients was 31.4. DTF was utilized with various types of grafts without implantsto improve the curve in dorsal augmentation of hump noses and cases that required curve betterment. DTF was used to improve implant demarcation and transparency for secondary cases. Results: The mean follow-up duration was 1.5 years. Of the 175 patients, 81% were satisfied with the natural correction achieved, whereas 19% complained of undercorrection, which was resolved with additional surgery. No specific complications such as nasal inflammation or contractures were observed. Conclusion: DTF can be used with various graft methods for correctionof radix, dorsal, and tip irregularities. It can also be used to correct implant contour transparency in secondary rhinoplasty and thus may be considered as a useful supplementary graft material in rhinoplasty for Asians.
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