采用改良精细移植物(软骨移植物)矫正鼻软组织三角畸形的新技术及其对畸形矫正效果的评估:前瞻性研究。

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI:10.61186/wjps.12.3.37
Naser Mozafari, Sadroollah Motamed, Shaghayegh Ayatollahi, Alireza Mozaffari, Mohammad Ali Mozaffari
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引用次数: 0

摘要

背景:鼻软三角区(ST)畸形的处理是鼻整形术中的一个难题,也是一个非常敏感的问题。迄今为止,矫正这些畸形的标准方法尚未问世。我们的目的是引进一种使用改良精细移植(MMG)矫正鼻软三角畸形的新技术,并评估使用这种方法的效果:这项前瞻性研究的对象是 2021 年 8 月至 2022 年 2 月期间在伊朗德黑兰沙希德-贝赫什提医科大学 15 Khordad 医院接受手术的 20 名鼻部整形候选人,他们采用 MMG 新技术矫正了鼻 ST 三角区畸形。术后立即、术后 3 个月和术后 6 个月进行了随访。所有患者的术后结果包括ST畸形矫正、移植物暴露、移植物可见度、复发率和翻修需求,均通过摄影进行评估:患者的平均年龄为(33.65± 11.047)岁,85%的病例为女性,90%的手术为原始鼻整形手术。2例(10%)患者的ST三角畸形未得到矫正。这两名患者均为女性,均进行了初级鼻整形手术,并从鼻中隔取出了软骨。所有病例均未报告移植物暴露、复发和可见性:结论:MFG 在矫正鼻 ST 三角区畸形方面效果显著,且不会引起严重的并发症。该方法是一种适用于矫正鼻 ST 三角区畸形的高效方法。
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Introducing a New Technique for Correcting Nasal Soft Tissue Triangle Deformity Using a Modified Fine Graft (Cartilage Graft) and Evaluating Its Effect on Deformity Correction: A Prospective Study.

Background: The management of deformities of the nasal soft triangle (ST) is a difficult and very sensitive discussion in rhinoplasty. So far, the standard method for correcting these deformities has yet to be introduced. We aimed to introduce a new technique using modified fine graft (MMG) for correcting nasal ST triangle deformity and evaluate the effects of using this method.

Methods: This prospective study was conducted on 20 rhinoplasty candidates who underwent surgery at 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran between August 2021 to the February 2022 with the new technique of using an MMG to correct nasal ST triangle deformities. Follow-up was performed immediately after surgery, 3 and 6 months after surgery. Post-operative findings included ST deformity correction, graft exposure, graft visibility, recurrence rate, and the need for revision were evaluated by photography for all patients.

Results: The mean age of patients was 33.65± 11.047 years, 85% of the cases were female and 90% of surgeries were primal rhinoplasties. The ST triangle deformity was not corrected in 2 cases (10%). Both patients were women with primary rhinoplasty, and cartilage was removed from the septum in both. Graft exposure, recurrence, and visibility were not reported in any cases.

Conclusion: MFG was highly effective in correcting the deformity of the nasal ST triangle and did not cause serious complications in patients. This method is a suitable method with high efficiency for correcting nasal ST triangle deformity.

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