Amir A Sazgar, Amir K Sazgar, Nikou Hatami, Mehr A Sazgar
{"title":"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。","authors":"Amir A Sazgar, Amir K Sazgar, Nikou Hatami, Mehr A Sazgar","doi":"10.1093/asj/sjae240","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>ACGs from the antihelix effectively address external valve stenosis due to aggressive alar-sill junction tissue resection in reconstructive rhinoplasty, even in complex cases.</p><p><strong>Level of evidence: 4 (therapeutic): </strong></p>","PeriodicalId":7728,"journal":{"name":"Aesthetic Surgery Journal","volume":" ","pages":"255-263"},"PeriodicalIF":3.0000,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Single-Stage Alar Nostril Ring Correction Using Auricular Composite Grafts in Reconstructive Rhinoplasty.\",\"authors\":\"Amir A Sazgar, Amir K Sazgar, Nikou Hatami, Mehr A Sazgar\",\"doi\":\"10.1093/asj/sjae240\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Objectives: </strong>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.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>ACGs from the antihelix effectively address external valve stenosis due to aggressive alar-sill junction tissue resection in reconstructive rhinoplasty, even in complex cases.</p><p><strong>Level of evidence: 4 (therapeutic): </strong></p>\",\"PeriodicalId\":7728,\"journal\":{\"name\":\"Aesthetic Surgery Journal\",\"volume\":\" \",\"pages\":\"255-263\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-02-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Aesthetic Surgery Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/asj/sjae240\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aesthetic Surgery Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/asj/sjae240","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
Single-Stage Alar Nostril Ring Correction Using Auricular Composite Grafts in Reconstructive Rhinoplasty.
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.
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.
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