Day 3 :
MEDART Clinics, Saudi Arabia
Time : 10:20-10:45
Jamal Jomah, MD, graduated with Honors from King Faisal University, Saudi Arabia. He pursued specialty training in Canada where he completed his residencyrntraining in plastic surgery and sub-specialized in cosmetic surgery, craniofacial rehabilitation and medical education. He is certified by the Royal College ofrnSurgeons of Canada and the Canadian Medical Council. He also obtained an honorary fellowship from the Royal College of Surgeons of Edinburgh. In addition, hernis a diplomat of the American Board in Hair Restoration Surgery and a Board Examiner. He is also a fellow of the American College of Surgeons. He holds the titlernof Consultant Plastic Surgeon in Dubai and also has been newly elected as the General Secretary of the Emirates Plastic Surgery Society.
Background: Aesthetic nasal dorsal reconstruction is associated with difficulty of long-term control of the graft contour andrnalignment. Fascia-wrapped cartilage has been shown to be histologically superior to Surgicel-wrapped cartilage. The aim ofrnthis study was to present a technique involving use of a diced-cartilage graft engulfed in a sleeve of pre-mastoid fascia forrnaesthetic nasal dorsal reconstruction.rnMethods: A retrospective review of 25 patients’ medical charts was performed from April 2014 to September 2015. All patientsrnhad undergone nasal dorsal reconstruction using a diced-cartilage graft for various aesthetic indications.rnResults: The reconstruction technique described herein resulted in good surgical outcomes in all patients. One case of infectionrnoccurred, but no patients developed resorption.rnConclusions: Use of diced cartilage with pre-mastoid fascia provides good clinical outcomes of dorsal nasal reconstruction,rnand avoids morbidity at other sites.
King Saud University, Saudi Arabia
Time : 10:10 -10:35
Sameer Bafaqeeh is Professor and Consultant at the Department of Otolaryngology, and Chairman of Facial Plastic Division. He is the Director of King Saud Facial Plastic Fellowship program & Chairman of Annual International Riyadh Rhinoplasty & Otoplasty Course, at King Saud University.
The ill-defined, droopy tip & high dorsum is one of the most frequent common nasal deformities among our patients which required a careful history and comprehensive nasal analysis to have successful intervention for correcting different degree of nasal ptosis. Considering the tripod theory principles & the assessment of both degree of tip rotation and projection were important in selecting the exact type of surgical techniques. In a retrospective study of 10-years droopy patients who underwent primary Rhinoplasty by one senior consultant (between 2005-2015), their pre & postoperative Photographs and operative records (when applicable) were reviewed to assess the degree of each droopy tip deformity & to evaluate the role of different selected techniques in corrected such deformity. The exact etiology & patient Specific nasal characteristics component found to be excellent gaudiness for selecting surgical techniques & modification to give predictable and reliable outcomes. The external Rhinoplasty approach was performed in all patients because the exposure permits alar cartilage modifications to be performed precisely under direct vision. Our goal in correcting the droopy nasal tip is to eliminate the forces that inferiorly displace the alar cartilages before adopting any alar cartilage modifying technique, and finally increase the tip support mechanisms. A multitude of surgical maneuvers are often necessary to address all the features of the droopy nose and to produce the desired aesthetic long term result. Strong nasal tip columellar strut is very important in all cases to increase the strength & stability of the alar cartilage complex, which essential to a have a good long term result & adjusting optimal nasal tip projection on the operating table.