Saddle Nose Deformity Reconstruction in Yemen: A Prospective Study of the Diced Cartilage Fascia Technique

Abstract

Background: Saddle nose deformity is a significant challenge in conflict-affected and resource-limited settings. The diced cartilage fascia (DCF) technique, which involves wrapping diced cartilage in the fascia, has demonstrated promising results, but it remains underexplored. Objective: To evaluate the efficacy, safety, and patient satisfaction of the DCF technique for saddle nose deformity reconstruction in Yemen. Methods: This prospective case series included 30 patients who underwent nasal reconstruction using the DCF technique between January 2020 and January 2023. Outcomes were assessed through pre- and postoperative photographs, Nasal Obstruction Symptom Evaluation (NOSE) scores, Rhinoplasty Outcome Evaluation (ROE) scores, and patient interviews over a 6-month follow-up period. Results: Significant improvements in nasal shape and function were observed. The mean A-B line measurement increased from 16.75 mm to 21 mm (p < 0.001), and the mean NOSE score decreased from 52.8 to 5 (p < 0.01). Patient satisfaction was notably high, with 96.7% of patients reporting excellent satisfaction. The complication rate was 6.6%, and manageable issues, such as nasal deviation and infection. Conclusion: The DCF technique is a safe and effective method for correcting saddle nose deformity in resource-limited settings and has significant functional and esthetic improvements. Further research with larger sample sizes and longer follow-up periods is recommended to validate these findings.