Abstract

Background: The nasal dorsal hump reduction is common among patients seeking rhinoplasty, so this surgery must be based on conservative reduction of excessive nasal bone and cartilage with meticulous reconstruction of nasal dorsum by different techniques like suturing, spreader graft (SG), or spreader flap to create pleasant dorsal aesthetic lines with preserving internal nasal valve function. The aim of the study was to evaluate and compare the nasal contour and patency between suturing technique and spreader graft placement in hump reduction of primary external rhinoplasty.
Methods: A prospective observational comparative study was done in which 21 patients were selected for hump reduction and then divided those patients randomly into two groups: Group A with spreader graft placement technique after hump reduction and Group B with suturing technique after hump reduction. The evaluation of all patients included the administration of a questionnaire, a clinical examination, and the documentation of photographs both before and after the surgical procedure. Additionally, follow-up assessments were conducted at the 1st, 3rd, and 6th months.
Results: ROE, VAS, and photo documentation showed that group A was 100% satisfied with nose look postoperatively, while group B was 90% satisfied.
Both groups A and B showed 100% and 90% nasal impairment, respectively, according to nasal obstruction symptoms assessment (NOSE) and visual analogue scale for nasal patency.
Conclusions: Spreader graft placement and suturing technique have a similar effect on reconstruction of nasal appearance and preservation of nasal patency except in selected situations.