不缝合鼻翼上外侧软骨的扩张器移植的美学和功能效果:随机双盲临床试验。

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI:10.61186/wjps.12.3.24
Seyed Esmail Hassanpour, Mohadeseh Amini, Abdolreza Rouientan
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引用次数: 0

摘要

背景:考虑到扩张器移植技术对于防止塌陷和气道滞留的重要性,以及其对鼻背美学线和鼻腔宽度影响的重要性,在本研究中,我们比较了将扩张器移植缝合到鼻中隔_上外侧软骨作为经典技术与仅将扩张器移植缝合到鼻中隔的结果:这项比较观察研究是针对 2019-2020 年期间转诊到 15 khordad 医院鼻整形科的 50 名连续患者进行的。研究参与者被随机分配到两组,即不缝合鼻中隔上外侧软骨的新扩张器移植技术组(n = 25)或缝合鼻中隔和鼻外侧上软骨的频繁扩张器移植技术组(n = 25)。研究终点为鼻阻塞程度、生活状态和健康相关质量、患者满意度以及鼻腔结构的主观心理形象。对患者进行了为期 6 个月的随访:结果:两组患者的性别和年龄匹配。结果:两组患者的性别和年龄均相匹配,虽然两组患者的所有研究终点均有明显改善,但两组患者半年后各项参数的变化趋势不同,计划采用不缝合上外侧软骨的扩张器移植技术的患者的改善效果更好:结论:对于计划进行选择性鼻整形术的患者,与同时缝合鼻中隔和上外侧软骨相比,包括不缝合上外侧软骨的扩张器移植术在内的新手术技术可在患者对手术的满意度、无阻塞症状、美学特征和与健康相关的生活质量方面带来更有利的结果。
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Aesthetic and Functional Consequences of Spreader Graft without Suturing To the Upper Lateral Nasal Cartilage: A Randomized Double-Blinded Clinical Trial.

Background: Considering the importance of the spreader graft technique in order to prevent collapse and airway retention and the importance of its effect on the dorsal aesthetic line and nasal width, in this study we compared the outcome of suturing spreader graft to septum _upper lateral cartilageas the classic technique to suturing spreader graft only to septum.

Methods: This comparative observational study was conducted on 50 consecutive patients referred to Rhinoplasty Department in 15 khordad Hospital from 2019 - 2020 . The study participants were randomly assigned into two groups which scheduling the new spreader graft technique without suturing the upper lateral cartilage (n = 25) or the frequent spreader graft technique with suturing to both septum and upper lateral nasal cartilage (n = 25). The nasal obstruction degree, the status and health-related quality of life, patients' satisfaction, and subjective mental image of the nasal structure were the study endpoint. The patients were followed-up for six months.

Results: The two groups were matched for gender and age. Although all study endpoints significantly improved in both groups, but the six-month trend of the change in each parameter was different in the two groups with superior improvement in those who planned for spreader graft technique without suturing the upper lateral cartilage.

Conclusion: In patients scheduling for selective rhinoplasty, new procedural technique including spreader graft without suturing to upper lateral cartilage can lead to more postoperative favorable outcome with regard to patients' satisfaction of the procedure, lack of obstructive symptoms, aesthetic feature, and health-related quality of life as compared to suturing to both septum and upper lateral cartilage.

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