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

Saddle nose deformity presents significant challenges, particularly in conflict-affected and resource-limited settings. The diced cartilage fascia (DCF) technique, which involves wrapping diced cartilage in fascia, has shown potential for addressing these challenges but remains underexplored. This study aimed to evaluate the efficacy, safety, and patient satisfaction of the DCF technique for saddle nose deformity reconstruction in Yemen.

This was a prospective study that included 30 patients who underwent saddle nose reconstruction using the DCF technique between January 2020 and January 2023. Data collected included patient demographics, preoperative and postoperative assessments using the Nasal Obstruction Symptom Evaluation (NOSE) and Rhinoplasty Outcome Evaluation (ROE) scores, A-B line measurements, and complication rates. Wilcoxon signed-rank test was used to compare preoperative and postoperative outcomes.

The study included 30 patients, 12 male (40%) and 18 female (60%), with a mean age of 28.5 years. Significant improvements were observed, with the mean A-B line measurement increasing from 16.75 mm to 21 mm (p < 0.001) and the mean NOSE score improving from 52.8 ± 22.2 to 5 ± 5.1 (p < 0.01). Patient satisfaction was high, with 29 patients (96.7%) reporting excellent outcomes. Postoperative complications occurred in two patients (6.6%). Nasal deviation was noted in one patient (3.3%) and was managed with reoperation, while infection in one patient (3.3%) was treated conservatively.

The DCF technique is a safe, effective, and promising method for reconstructing saddle nose deformities in resource-limited settings. It yields significant functional and aesthetic improvements with high patient satisfaction and minimal complications. Larger studies with extended follow-up are recommended to confirm these findings.