Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédicas Abel Salazar-Universidade do Porto, Portugal.
Hospital CUF Infante Santo, Lisboa, Portugal.
Aesthet Surg J. 2021 Feb 12;41(3):288-300. doi: 10.1093/asj/sjaa221.
Most Caucasian aesthetic rhinoplasty patients complain about having a noticeable hump in profile view. Taking the integrity of the middle vault into consideration, there are 2 ways to dehump a nose: the structured technique and the preservation technique.
The aim of this study was to compare the aesthetic and functional outcomes of 2 reduction rhinoplasty techniques.
We performed a prospective, randomized, interventional, and longitudinal study on 250 patients randomly divided into 2 groups: the component dorsal hump reduction group (CDRg) (n = 125) and the spare roof technique group (SRTg) (n = 125). We utilized the Utrecht Questionnaire for Outcome Assessment in Aesthetic Rhinoplasty. Patients answered the questionnaire before the surgery, and at 3 and 12 months after surgery. In addition, we utilized a visual analog scale (VAS) to score nasal patency for each side.
Analyses of the preoperative and postoperative aesthetic VAS scores showed a significant improvement in both groups, from 3.66 to 7.00 (at 3 months) to 7.35 (at 12 months) in the CDRg, and from 3.81 to 8.14 (at 3 months) to 8.45 (at 12 months) in the SRTg. Analyses of postoperative means of aesthetic VAS scores showed a significant improvement in both groups over time. However, aesthetic improvement was higher in the SRTg than in the CDRg at both 3 (P < 0.001) and 12 months (P < 0.001) postsurgery. Analyses of the mean functional VAS scores showed a significant improvement with both techniques, with a better result for the SRTg.
The SRT is a reliable technique that can help deliver consistently better aesthetic and functional results than CDR for reduction rhinoplasty in Caucasian patients with a dorsal hump.
大多数白种人审美性鼻整形患者抱怨在侧位观有明显的驼峰。考虑到中隔穹窿的完整性，有 2 种方法可以去驼峰：结构性技术和保留技术。
本研究旨在比较 2 种缩窄性鼻整形术的美学和功能效果。
我们对 250 例患者进行了一项前瞻性、随机、干预性和纵向研究，这些患者被随机分为 2 组：结构性驼峰切除术组（CDRg）（n=125）和备用穹窿技术组（SRTg）（n=125）。我们使用乌得勒支审美鼻整形术结果评估问卷。患者在手术前、手术后 3 个月和 12 个月回答问卷。此外，我们使用视觉模拟评分（VAS）对每侧鼻腔通畅度进行评分。
对术前和术后美学 VAS 评分的分析表明，2 组患者均有显著改善，CDRg 组从 3.66 分提高到 7.00 分（术后 3 个月），提高到 7.35 分（术后 12 个月），SRTg 组从 3.81 分提高到 8.14 分（术后 3 个月），提高到 8.45 分（术后 12 个月）。对术后美学 VAS 评分均值的分析表明，2 组患者在随访期间均有显著改善。然而，SRTg 在术后 3 个月（P<0.001）和 12 个月（P<0.001）时的美学改善均高于 CDRg。对平均功能 VAS 评分的分析表明，2 种技术均有显著改善，SRTg 的效果更好。
在白人患者中，对于驼峰缩小性鼻整形术，SRT 是一种可靠的技术，与 CDR 相比，能更一致地提供更好的美学和功能效果。
