鼻中隔延伸板条移植物在鼻中隔成形术患者中的效果评价

IF 1 Q3 OTORHINOLARYNGOLOGY International Archives of Otorhinolaryngology Pub Date : 2023-10-06 DOI:10.1055/s-0043-1770083
Hamidreza Hosnani, Shahin Bastaninez, Amirbahador Golchin, Hamed Givzadeh
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Gross changes in nasolabial angle, columellar show, nasal tip projection, and dorsal nasal deviation were evaluated by a photographic analysis method, and nasal obstruction was assessed by patient satisfaction with breathing. Results There was a significant difference between the mean nasolabial angle and columellar show at 1 and 12-months postoperatively, compared with the previous values (p < 0.0001). The nasolabial angles were in a favorable position with an increase of 12 to 15 degrees compared with the preoperative state. The columellar show also improved by an average of 1.2 mm and was in good condition. The postoperative dorsal nasal deviation was significantly reduced, and projection was significantly increased (3.521 ± 0.087 mm vs. 0.719 ± 0.028; p < 0.0001; p < 0.001). Moreover, this method had a significant favorable effect on nasal obstruction (p = 0.049). 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引用次数: 0

摘要

尾段鼻中隔偏曲的矫正一直是鼻中隔成形术中一个具有挑战性的课题。鼻中隔板条延伸移植物(SBEG)是一种在鼻整形术中具有潜在应用价值的新型移植物。然而,很少有报道评估这种技术的手术效果。目的评价SBEG矫正尾间隔偏曲的效果。方法对2019年在2家不同医院行SBEG鼻中隔成形术的尾间隔偏曲患者进行横断面研究。然后,我们回顾性地回顾了50例患者术前、术后1个月和12个月的病历和照片。鼻唇角、鼻小柱显示、鼻尖突出和鼻背偏斜的大体变化通过摄影分析方法评估,鼻塞通过患者呼吸满意度评估。结果术后1个月和12个月鼻唇角和鼻小柱显示与术前比较差异有统计学意义(p <0.0001)。鼻唇角较术前增加12 ~ 15度,处于有利位置。柱状花序平均增加1.2 mm,生长状况良好。术后鼻背偏曲明显减少,鼻突明显增加(3.521±0.087 mm vs. 0.719±0.028 mm;p & lt;0.0001;p & lt;0.001)。此外,该方法对鼻塞有显著的有利效果(p = 0.049)。结论SBEG鼻中隔成形术是矫正尾侧鼻中隔偏曲的有效方法,手术效果良好,符合上述5项标准。
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Evaluation of the Results of Septum Extension Batten Graft in Patients Referred for Septorhinoplasty
Abstract Introduction Correction of caudal septal deviations has always been a challenging subject in septorhinoplasty. The septum batten extension graft (SBEG) is a new graft that has potential properties in rhinoplasty. However, few reports have evaluated the surgical outcomes of this technique. Objective The purpose of this study was to evaluate the effectiveness of SBEG in correcting caudal septal deviation. Methods This cross-sectional study was conducted on patients with caudal septal deviation undergoing septorhinoplasty using SBEG at 2 different hospitals in 2019. We then retrospectively reviewed medical records and photographs of 50 patients at the preoperative period, as well as at 1-month, and 12-month postoperatively. Gross changes in nasolabial angle, columellar show, nasal tip projection, and dorsal nasal deviation were evaluated by a photographic analysis method, and nasal obstruction was assessed by patient satisfaction with breathing. Results There was a significant difference between the mean nasolabial angle and columellar show at 1 and 12-months postoperatively, compared with the previous values (p < 0.0001). The nasolabial angles were in a favorable position with an increase of 12 to 15 degrees compared with the preoperative state. The columellar show also improved by an average of 1.2 mm and was in good condition. The postoperative dorsal nasal deviation was significantly reduced, and projection was significantly increased (3.521 ± 0.087 mm vs. 0.719 ± 0.028; p < 0.0001; p < 0.001). Moreover, this method had a significant favorable effect on nasal obstruction (p = 0.049). Conclusion Our results showed that septorhinoplasty using SBEG is useful for correcting caudal septal deviation, with favorable surgical outcomes, and it has responded well to all five aforementioned criteria.
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CiteScore
2.80
自引率
0.00%
发文量
84
审稿时长
12 weeks
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