CenoDerm vs. Fascia lata for the Prevention of Dorsal Nasal Irregularities in Rhinoplasty.
BACKGROUND
Dorsal nasal irregularity is a complication of rhinoplasty surgery, mostly seen in patients with thin skin. Acellular dermis (CenoDerm) and homologous fascia lata covering the nasal bone cartilage structure have been used to achieve a smooth surface. In this study, we aimed to investigate clinical outcomes using these two materials.


METHODS
After a standard rhinoplasty procedure, a layer of the acellular dermis or homologous fascia lata was placed in the pocket of the dorsum. Patients were evaluated for clinical outcomes at 3, 6, and 12 months after the procedure.


RESULTS
Forty-two of 68 patients completed the follow-up period. Patient satisfaction was higher in the homologous fascia lata group. Similarly, nasal dorsum inspection and palpation results were better in the homologous fascia lata group compared with the CenoDerm group but was significant in palpation (P=0.00). There was no complete absorption in the homologous fascia lata group 6 months after surgery (P= 0.04 vs. CenoDerm) but no significant difference was observed at 12 months.


CONCLUSIONS
Homologous fascia lata is better than acellular dermis in preventing dorsal nasal irregularity after rhinoplasty in thin-skinned patients.
Otorhinolaryngology and Head and Neck Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Alireza
A
Mohebbi
Department of Otorhinolaryngology and Head and Neck , Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran .
Roghayeh
R
Hamidian
Otorhinolaryngology and Head and Neck Research Center, Hazrat Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Seyed-Behzad
SB
Poosti
Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran .
Seyedeh-Simindokht
SS
Hosseini
Acellular dermis; Fascia lata; Rhinoplasty