Long-Term Safety and Reliability of Using Tutoplast-Processed Fascia Lata to Refine the Nasal Dorsum in Primary and Revision Rhinoplasty

Khalid H Al-Sebeih; Ebraheem Albazee; Ahmed Abu-Zaid; Mahmoud A Alsakka

doi:10.1007/s00266-024-03860-2

Long-Term Safety and Reliability of Using Tutoplast-Processed Fascia Lata to Refine the Nasal Dorsum in Primary and Revision Rhinoplasty

Aesthetic Plast Surg. 2024 Feb 20. doi: 10.1007/s00266-024-03860-2. Online ahead of print.

Authors

Khalid H Al-Sebeih^{1

2}, Ebraheem Albazee³, Ahmed Abu-Zaid⁴, Mahmoud A Alsakka⁵

Affiliations

¹ Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Faculty of Medicine, Kuwait University, Jabriya, Hawalli, Kuwait. kalseb@kuwaitcmc.com.
² Department of Otorhinolaryngology and Facial Plastic Surgery, Canadian Medical Center, Sharqe, Kuwait City, Kuwait. kalseb@kuwaitcmc.com.
³ Kuwait Institute for Medical Specializations (KIMS), Kuwait City, Kuwait.
⁴ College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
⁵ Department of Otorhinolaryngology and Facial Plastic Surgery, Canadian Medical Center, Sharqe, Kuwait City, Kuwait.

PMID: 38379010
DOI: 10.1007/s00266-024-03860-2

Abstract

Background: Tutoplast-processed fascia lata (TPFL) is an allograft substance employed alongside cartilaginous materials to achieve optimal augmentation in rhinoplasty. Alternatively, it can be utilized to conceal and smooth irregularities of the nasal dorsum during the procedure. Despite its application, there is limited available data on the extended safety of TPFL. Consequently, our objective was to assess the enduring long-term safety and reliability of TPFL in both primary and revision rhinoplasty.

Methods: A retrospective cohort study was conducted on 300 patients who underwent primary and revision rhinoplasty with TPFL grafts. Baseline characteristics, types of surgical techniques, and surgical outcomes were evaluated. The surgical success and satisfaction rates were assessed as primary outcomes. The Statistical Package for Social Sciences (SPSS), version 27 for Windows, was used to conduct the statistical analysis.

Results: TPFL was used in both primary and revision rhinoplasty, with septal cartilage being the most common conjunction graft material. The overall surgical success rate was 97.3%, with only 2.7% of patients experiencing complications. The satisfaction rate was 92.7%, with no significant difference between primary and revision cases. The highest satisfaction rate was found in patients who underwent the crushed cartilage in fascia technique (96.3%).

Conclusions: TPFL in conjunction with cartilaginous materials; is a safe and reliable option for dorsal augmentation and camouflage material in primary and revision rhinoplasty, with low complication and high patient satisfaction rates.

Level of evidence iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Keywords: Homologous graft; Nasal graft; Rhinoplasty; TPFL; Tutoplast-processed fascia lata.