Autogenous Calvarial Bone Graft Versus Reconstruction With Alloplastic Material in Treatment of Saddle Nose Deformities

Abstract

Currently, there are many techniques and methods with different alloplasts and autografts for the treatment of saddle nose correction. A two-center study was performed to understand the effects of naturalness of the nose on the aesthetic satisfaction of patients. Long-term follow-up results for 24 patients who underwent saddle nose correction with alloplastic materials (endonasal approach, group 1) in a state hospital were compared with the results for 29 patients who underwent a "calvarial bone graft" (autograft; group 2) at another hospital in terms of aesthetic results. With this aim, a questionnaire was designed to assess the patients' degree of aesthetic satisfaction with different aspects. The significance of the results was tested using dependent or independent sample t tests. Nasolabial angles were greater (meaning near to normal range) in group 2 than in group 1 in both males and females (P < 0.001). Nasofacial angles were also greater in group 2 than in group 1 in both males and females (P< 0.001). This situation causes discomfort in patients. However, in patients with the autogenous calvarial bone graft as the autograft, this uncomfortable situation was not observed; it was also not experienced in patients with alloplastic grafts. Although donor areas were left in their bodies, most patients were satisfied with this operation. They feel there are no foreign bodies in them. On the other hand, materials used to correct their nose have been taken from their own bodies.