Evaluation of the Effects of Using Buccal Fat Pad on Dorsum Changes: A Randomized Clinical Trial

Abstract

Background: Irregularity of the dorsum is one of the common complications in rhinoplasty. Today, various methods are used to correct the irregularity of dorsum. This study was conducted to determine the effects of using Buccal Fat pad on dorsum changes. Methods: In a randomized clinical trial, 20 patients undergoing primary rhinoplasty with open technique were randomly assigned to the intervention and control groups. In intervention groups, after the end of the osteotomy and before the skin is sutured, A layer of buccal fat was placed on the dorsum and fixed. In the control group dorsum region without the use of buccal fat was sutured. Both groups followed for six months and were assessed regarding, dorsum changes and satisfaction of dorsum aesthetic. Results: In the intervention and control groups, the mean age of patients was 26.60 ±3.92 and 25.90 ±4.38 years, respectively (P = 0.711). In terms of gender, 70% of patients in the intervention group and 80% in the control group were women. The frequency of nasal asymmetry, nasal depression, dorsum narrowing, step and nasal width in the intervention and control groups were 20% and 50% (P = 0.350). The mean score of patient satisfaction and surgeon satisfaction with the beauty of the bridge of the nose in the intervention group was significantly higher than the control group (P <0.05). Conclusion: Using Buccal Fat pad on dorsum during primary rhinoplasty, in addition to reducing changes in dorsum, increases the satisfaction of dorsum beauty.