一次手术同时完成开放式鼻整形术、鼻翼缩小术和上唇提升术的安全性和效果。

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI:10.61186/wjps.13.1.32
Masoud Saman, Alireza Sharifi
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引用次数: 0

摘要

背景:通过独立切口同时进行鼻翼缩小术(ALOS)、唇提升术和开放式鼻整形手术(ALOS)的安全性和效果尚未见任何研究报道,因此,我们旨在评估这种联合手术的安全性和效果:这项回顾性研究是对美国纽约面部整形外科诊所 2018-2022 年期间同时实施的 ALOS、唇提升术和鼻唇沟缩小术的所有病例进行的。耳廓缩小术涉及耳廓楔形的完全贯通切除,唇提升技术类型为牛角设计,切除皮肤和浅表肌肉神经系统。原发性开放式鼻整形术采用倒 V 型巩膜切口。随访时间从 4 个月到 2 年不等,但所有患者都在术后 6 天、1 个月和 2 个月接受了随访:结果:共登记了 51 例患者。我们审查了并发症的标准,包括感染、血管事件(如坏死或部分缺血)和瘢痕不佳,幸运的是,我们没有发现任何感染或血管问题。有 2 例患者的结肠疤痕 "不够理想",但根据患者调查,所有其他病例的疤痕都 "无法察觉"。在 4 个病例中,9/44 个病例的唇提升术疤痕被认为 "不够理想",显示唇提升术的白色疤痕有轻微凹陷。此外,所有龈沟和龈颊切口的瘢痕几乎不可见:结论:在没有其他任何手术或之前在口鼻区域受过创伤的初级鼻整形病例中,同时进行唇提升、开放式鼻整形和鼻翼楔形切除术是安全的,不会对血管或瘢痕造成负面影响。
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The Safety and Outcomes of Simultaneous Open Rhinoplasty, Alar Reduction, and Upper Lip-Lift through One Surgery.

Background: The safety and outcomes of performing a simultaneous Alar reduction, Lip lift, and Open rhinoplasty Surgery (ALOS) through independent incisions have not been reported in any study, therefore, we aimed to evaluate the safety and outcomes of this combination procedure.

Methods: This retrospective review study was conducted on all cases of simultaneous ALOS, lip-lift, and alar reduction performed from 2018-2022, at Facial Plastic Surgery Clinic, New York, USA. Alar reduction involved complete through-and-through resection of alar wedge, and the type of lip lift technique was bullhorn design with excision of skin and Superficial Musculo-Aponeurotic System. Primary open rhinoplasty with inverted V-columellar incision was performed. The follow up period ranged between 4 months to 2 years, but all of patients were followed up at 6 days, one, and two months post-operatively.

Results: Fifty one cases were enrolled. We reviewed criteria of complications including infection, vascular events (such as necrosis, or partial ischemia), and poor scarring, fortunately, we did not have any infection or vascular issues. In 2 cases, columellar scar was "less than optimal", but in all other cases, this scar was "not perceivable" based on the patient survey. In 4 cases, the lip lift procedure scar was considered "less than optimal" showed slight indentation of white scar of lip lift in 9/44 cases. Additionally, all columellar and alar incisions had nearly invisible scarring.

Conclusion: In primary rhinoplasty cases, without any other surgeries or previous trauma in the oronasal region, performing concomitant lip lift, open rhinoplasty, and alar wedge resection is safe and does not negatively affect vascularity or scarring.

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