Toncic Rajko, Toncic Dinko
Clinic for Cosmetic, Plastic and Reconstructive Surgery Dr Toncic, Zagreb, Croatia.
Arch Plast Surg. 2016 Jan;43(1):46-52. doi: 10.5999/aps.2016.43.1.46. Epub 2016 Jan 15.
The loss of nasal tip support is caused by many factors and eventually results in the collapse and eventual dropping of the nasal tip. This reduces the nasolabial (NL) angle and negatively affects respiratory functions and one's appearance.
The aim of this retrospective study, which was conducted on 52 patients, was to present and popularize a simple and effective method for the reconstruction of a weakened columella by inserting an autologous ear cartilage graft using a sublabial approach.
Of all the patients, three patients experienced transplant rejection. The period of follow-up observation was one to five years (mean, 27 months). The results were objectively evaluated by measuring the NL angle in standardized photos before and after the procedure at different time intervals over the follow-up period. We observed a significant increase of the NL angle (mean, 20°), and found these results to be durable over the long term. Of the 52 patients included in this study observed patients, three were dissatisfied (due to immediate infection and shifting of the strut), 28 were satisfied, and 21 were very satisfied.
The surgical method described here is simple and can be learned quickly. It has very good results with few complications, and is our method of choice for complex and serious cases seen in everyday rhinosurgical practice.
鼻尖支撑力丧失由多种因素引起，最终导致鼻尖塌陷并下垂。这会减小鼻唇角，对呼吸功能和个人容貌产生负面影响。
这项回顾性研究对52例患者进行，目的是介绍并推广一种简单有效的方法，即经唇下途径插入自体耳软骨移植片来重建薄弱的鼻小柱。
所有患者中，3例出现移植排斥反应。随访观察时间为1至5年（平均27个月）。通过在随访期不同时间间隔测量手术前后标准化照片中的鼻唇角来客观评估结果。我们观察到鼻唇角显著增加（平均20°），且发现这些结果长期持久。在本研究纳入的52例观察患者中，3例不满意（因即刻感染和支柱移位），28例满意，21例非常满意。
本文所述手术方法简单，易于快速掌握。效果良好，并发症少，是我们在日常鼻外科实践中处理复杂严重病例的首选方法。
