Exploitation of Rib Cartilage in Septorhinoplasty in Primary and Revision Cases at king Abdullah Medical City (KAMC).

Background: Rhinoplasty is one of the most popular cosmetic procedures in the developed countries with Plethora of techniques available to successfully complete the Rhinoplasty. Rib cartilage graft is used as an alternative to septum cartilage, with the advantage of providing sufficient amount of cartilage even for large or revision Rhinoplasty. In this study, we will use rib cartilage graft in primary and revision Rhinoplasty cases. The rib cartilage graft will be obtained from different anatomical sites, depending on patient gender while using different techniques. The patient nasal angles and lines will be measured before and after the operation with recording the patient satisfaction in functional and cosmetic manners. Methodology: Reconstruction Rhinoplasty cases performed from 2012 to 2016 were chosen from the King Abdullah Medical Center KAMC in Saudi Arabia. A total of 18 patients (10 females and 8 male) were selected from ENT clinic, with the age above 18 years and all of which must presented with nasal deformity and nasal obstruction. Both primary and revision Rhinoplasty cases were constituted. Patients presented with normal nose shape had been excluded from research along with the cosmetic cases. Rib cartilages were used in all patients as the graft of choice for the Rhinoplasty procedure and different technique were used as well. Results: A total of 18 cases; 8 (44.4%) male patients, 10 (55.6%) female patients, most of them are Saudis (88.9%). They are presented with different nose presentation, majority of them had dorsal irregularity (77.8%) and deviated nose (66.7%), and they are complaining of poor breathing and Aesthetic look. Regarding the nasal angles (Nasofrontal, Nasolipial angle, and Tip deviation) have been measured pre and post-operative as well. And for all the angles, their P Values are significant statically. Pre-op Nasofrontal angle, Mean ? SD (144.4 ? 7.9). Post-op Nasofrontal angle, Mean ? SD (135?7.8). P value is < 0.001 which is significant. Pre-op Nasolipial angle, Mean ? SD (86.4 ? 9.5). Post-op Nasolipial angle, Mean ? SD (97.9?7.7). P value is < 0.001 which is significant. Pre-op tip deviation, Mean ? SD (1.9?2.3). Post-op tip deviation, Mean ? SD (0.47?0.73).