Success and complication rates of different techniques and materials used for nasal dorsal augmentation in rhinoplasty

Abstract

The nose plays a fundamental role in harmonizing the facial proportion and as such, its reconstruction is paramount in restoring and normalizing the facial appearance. Dorsum defects of the nose not only create an undesirable aesthetical appearance but may lead to functional problems that seek surgical care. Augmentation rhinoplasty are used to repair dorsum defects. This can be achieved using alloplastic, homograft or autologous materials. In this review, we investigated 280 articles to exculpate 24 outcomes reviewing the aesthetic outcomes, success, and complication rates of dorsal augmentation through various materials in the rhinoplasty. A range of original studies that aimed to investigate the topic of our study was included in our systemic review. Several outcomes were determined in this study including; secondary deformities, resorption, infection, displacement, breakup, wrapping, avulsion fracture, nasal obstruction, nasal length of the dorsum (preoperative and postoperative), a minor complication in general, a major complication in general, success rate, other outcomes, surgery revision, patient’s satisfaction, breathing nasal score, extrusion and other variables. Our qualitative analysis proved that autologous cartilaginous graft was the most graft used for dorsal augmentation. We figured that infection is the most common complication of dorsal nasal augmentation and Medpore (alloplastic implant) is the most common implant complicated with infection. Overall, our results showed the best implant to be