Optimizing precision rhinoplasty: comprehensive preoperative planning with nasal computed tomography for functional and aesthetic enhancement.

IF 2 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Maxillofacial Plastic and Reconstructive Surgery Pub Date : 2024-03-25 DOI:10.1186/s40902-024-00423-y

Pawel Szychta

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Abstract

Background: The evolving field of rhinoplasty increasingly recognizes the importance of clinical expertise over routine preoperative nasal computed tomography (CT) for planning surgical interventions. This study evaluates the clinical utility of preoperative nasal CT in enhancing the precision of open structured rhinoplasty, focusing on both functional and aesthetic outcomes without compromising patient safety through unnecessary radiation exposure. The study aimed to assess the impact of preoperative nasal CT on surgical planning and intraoperative maneuvers.

Methods: A prospective cohort study involved patients undergoing open structured rhinoplasty with or without preoperative nasal CT. Participants were divided into a study group, receiving preoperative nasal CT, and a control group, undergoing rhinoplasty without such imaging. Surgical modifications were tailored based on CT findings, with outcomes evaluated through postoperative nasal airflow and aesthetic satisfaction.

Results: The study included 205 patients in the CT group and 514 in the control group, with comparable demographics. The CT group demonstrated significant improvements in nasal breathing and higher aesthetic satisfaction postoperatively, with a notable decrease in the NOSE score and an increase in the ROE score compared to the control group. Minor complications were observed in a small percentage of the CT group, showcasing a nuanced approach to addressing individual anatomical variations.

Conclusions: Preoperative nasal CT in open structured rhinoplasty significantly enhances surgical precision, optimizing functional and aesthetic outcomes. This study underscores the utility of preoperative CT in individualized surgical planning, suggesting its pivotal role in the advancement of rhinoplasty practices. Future research should explore long-term benefits and further validate these findings across diverse populations.

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优化精准鼻整形术：利用鼻部计算机断层扫描进行全面的术前规划，以增强功能和美感。

背景：在不断发展的鼻整形领域，人们越来越认识到临床专业知识比常规术前鼻部计算机断层扫描（CT）对规划手术干预的重要性。本研究评估了术前鼻腔 CT 在提高开放式结构鼻整形术精确度方面的临床效用，重点关注功能和美学效果，同时不因不必要的辐射暴露而影响患者安全。研究旨在评估术前鼻腔 CT 对手术规划和术中操作的影响：这项前瞻性队列研究涉及接受开放式结构鼻整形术的患者，无论术前是否使用鼻腔 CT。参与者被分为接受术前鼻腔 CT 的研究组和未接受此类成像的对照组。根据 CT 检查结果对手术进行调整，并通过术后鼻腔气流和美学满意度对结果进行评估：研究包括 205 名 CT 组患者和 514 名对照组患者，两组患者的人口统计学特征相当。与对照组相比，CT 组患者的鼻腔呼吸明显改善，术后美学满意度更高，NOSE 评分明显下降，ROE 评分上升。CT组中有一小部分人出现了轻微并发症，展示了一种针对个体解剖差异的细致入微的方法：结论：开放式结构鼻整形术的术前鼻腔 CT 可显著提高手术精确度，优化功能和美学效果。这项研究强调了术前 CT 在个体化手术规划中的作用，表明它在鼻整形术的发展中起着举足轻重的作用。未来的研究应探索其长期益处，并在不同人群中进一步验证这些发现。

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