Abstract
Graft selection remains the greatest challenge for surgeons performing rhinoplasty. The preferred choice thus far for nasal reconstruction would be autograft compared to allograft due to its lower rate of infection and extrusion as it does not induce an immune response. We have evaluated 26 patients who underwent open structured rhinoplasty at our center and compared our experience regarding the operative technique, graft availability, indications, and limitations. The racial distribution was 18 Indians, 5 Chinese, and 3 Malays with a mean age, hospitalization, and followup of 30.5 years, 16.9 months, and 4.4 days, respectively. Majority of the patients (57.6%) presented with twisted nose and 30.7% of the patients presented with history of nasal trauma. All the patients had deviated septum of varying severity. The most common graft used was quadrangular cartilage graft and the common complications noted were ala deformity and tip anaesthesia in 7.6% patients respectively.
Highlights
In multiethnic Malaysian population, the nasal profile and skin thickness in the Oriental Chinese and Malay noses vary from the Caucasian Middle Eastern and Indian noses
Augmentation rhinoplasty is more common in Oriental Chinese or Malay noses whereas reduction rhinoplasty is more common in Middle Eastern and Indian noses
Majority (57.6%) of the patients presented with twisted nose
Summary
In multiethnic Malaysian population, the nasal profile and skin thickness in the Oriental Chinese and Malay noses vary from the Caucasian Middle Eastern and Indian noses. Augmentation rhinoplasty is more common in Oriental Chinese or Malay noses whereas reduction rhinoplasty is more common in Middle Eastern and Indian noses. The results achieved in rhinoplasty are directly related to the surgeon’s ability to elucidate how subtle change in the bony and cartilaginous support of the nose will change its appearance [1]. Numerous grafting techniques have been developed to sculpt the nasal framework in rhinoplasty over time. These basic techniques have evolved from the principal that maintenance of major supporting structures of the nose is fundamental for aesthetic and functional purposes. The surgeon’s attention to functional, reconstructive, and aesthetic principles is paramount in ensuring optimum septorhinoplasty results, much to the satisfaction of both the patient and the surgeon
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