Decision-making in Nasal Dorsum Reconstruction in Revision Rhinoplasty.

IF 1.5 Q3 SURGERY Plastic and Reconstructive Surgery Global Open Pub Date : 2024-09-06 eCollection Date: 2024-09-01 DOI:10.1097/GOX.0000000000006139
Norman Anco, Gonzalo C Caballero, Karen Valverde, José Nuñez
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Abstract

Background: The approach to revision rhinoplasty is a challenge that plastic surgeons often face. The objective of this communication is to describe a surgical algorithm for patients undergoing revision rhinoplasty based on the stability of the nasal dorsum.

Methods: The study included 18 patients, six men and 12 women, aged 19-54 years, who had previously undergone rhinoplasty and who visited our clinic to request a new procedure due to unsatisfactory results in those procedures. A surgical algorithm developed by the main author (N.A.) was followed for revision rhinoplasty, and then a validated rhinoplasty outcome evaluation questionnaire was applied 1 year after surgery to assess aesthetic outcomes.

Results: The questionnaire was applied to all participants, showing a significant increase in patient satisfaction. Before surgery, a minimum value of six and a maximum of 21 (mean of 12) were found. After revision rhinoplasty following the proposed surgical algorithm, a minimum value of 21 and a maximum of 30 (mean of 29) were found, and this difference was statistically significant (P < 0.001).

Conclusions: The surgical algorithm used for nasal dorsum reconstruction in patients undergoing revision rhinoplasty improved patient satisfaction and could be a feasible procedure to approach patients who have previously undergone rhinoplasty.

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鼻整形翻修术中鼻背重建的决策。
背景:修复鼻整形手术的方法是整形外科医生经常面临的挑战。这篇通讯的目的是根据鼻背的稳定性,为接受翻修鼻整形术的患者描述一种手术算法:研究对象包括 18 名患者,其中 6 名男性,12 名女性,年龄在 19-54 岁之间,他们都曾接受过鼻整形手术,但由于手术效果不理想而到本诊所要求进行新的手术。翻修鼻整形手术遵循主要作者(N.A.)制定的手术算法,然后在术后一年采用经过验证的鼻整形手术效果评估问卷来评估美学效果:结果:所有参与者都接受了问卷调查,结果显示患者满意度显著提高。手术前,患者满意度最低为 6 分,最高为 21 分(平均为 12 分)。按照建议的手术算法进行鼻整形术后,患者满意度最低为 21 分,最高为 30 分(平均为 29 分),这一差异具有统计学意义(P < 0.001):结论:对接受鼻整形术翻修的患者进行鼻背重建时采用的手术算法提高了患者的满意度,对于以前接受过鼻整形术的患者来说,这是一种可行的手术方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.20
自引率
13.30%
发文量
1584
审稿时长
10 weeks
期刊介绍: Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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