Single-Stage Alar Nostril Ring Correction Using Auricular Composite Grafts in Reconstructive Rhinoplasty.

IF 3 2区医学 Q1 SURGERY Aesthetic Surgery Journal Pub Date : 2025-02-18 DOI:10.1093/asj/sjae240

Amir A Sazgar, Amir K Sazgar, Nikou Hatami, Mehr A Sazgar

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Abstract

Background: Alar nostril ring correction in patients with multiple previous surgeries is one of the most challenging procedures in reconstructive rhinoplasty. Assessment of patient satisfaction and the technique's failure rate is essential in evaluating its effectiveness.

Objectives: In this study, we aimed to assess the outcomes of alar nostril ring correction with auricular composite grafts (ACGs) in patients with severe postrhinoplasty deformities from multiple previous surgeries.

Methods: A retrospective review of medical records from April 2016 to October 2023 was conducted. Patient demographics, surgical techniques, and functional and aesthetic outcomes were analyzed. Patient satisfaction was measured with the Obstruction and Cosmesis scores from the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS).

Results: A total of 45 cases (38 female and 7 male) ages 36.4 ± 7.64 years underwent alar nostril ring correction with ACGs from the antihelix, with an average of 2 previous rhinoplasties. Preoperative SCHNOS-O and SCHNOS-C scores were 88.44 (SD = 14.41) and 88.30 (SD = 12.44), respectively. The shape of the ACGs was similar to parabolic cylinders, with arc lengths between 15 and 21 mm and flat dimensions of 6 to 9 by 3 to 7 mm. No graft failures were observed, even in 10 patients with a history of nasal skin necrosis. Postoperative SCHNOS-O and SCHNOS-C scores after 1 year were 35.44 (SD = 21.07) and 35.85 (SD = 19.04), representing significant improvement (P < 0.05).

Conclusions: ACGs from the antihelix effectively address external valve stenosis due to aggressive alar-sill junction tissue resection in reconstructive rhinoplasty, even in complex cases.

Level of evidence: 4 (therapeutic):

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在鼻整形术中使用耳廓复合移植物进行单阶段耳廓鼻孔环矫正。

背景：对既往接受过多次手术的患者进行鼻翼鼻孔环矫正是鼻整形术中最具挑战性的手术之一。评估患者的满意度和该技术的失败率对于评价其有效性至关重要：本研究旨在评估使用耳廓复合移植物（ACGs）对因之前多次手术导致鼻整形术后严重畸形的患者进行耳廓鼻孔环矫正的效果：方法：对2016年4月至2023年10月的病历进行回顾性审查。分析了患者的人口统计学特征、手术技术和功能/美学效果。患者满意度采用标准化舒适度和鼻腔健康结果调查（SCHNOS）中的阻塞和舒适度评分进行测量：共有 45 名患者（38 名女性和 7 名男性）接受了反螺旋 ACG 鼻孔环矫正术，年龄为 36.4 ± 7.64 岁，平均接受过两次鼻整形手术。术前 SCHNOS-O 和 SCHNOS-C 评分分别为 88.44（SD =14.41）和 88.30（SD =12.44）。ACG 的形状像抛物线圆柱体，弧长在 15-21 毫米之间，平面尺寸为 6-9 毫米乘 3-7 毫米。即使在 10 位有鼻部皮肤坏死病史的患者中，也未发现移植失败的情况。术后 1 年，SCHNOS-O 和 SCHNOS-C 评分分别为 35.44（SD =21.07）和 35.85（SD =19.04），显著改善（P < 0.001）：结论：即使是复杂病例，反螺旋的 ACG 也能有效解决鼻整形术中因积极的鼻翼鳃交界组织切除而导致的外瓣膜狭窄问题。

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来源期刊

Aesthetic Surgery Journal SURGERY-

CiteScore

6.20

自引率

20.70%

发文量

309

审稿时长

6-12 weeks

期刊介绍： Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.