Private Practice, Abdi İpekçi Cad. No: 24/4, Nişantaşı, İstanbul, Turkey.
Ann Chir Plast Esthet. 2021 Aug;66(4):329-337. doi: 10.1016/j.anplas.2020.08.004. Epub 2020 Sep 23.
Rhinoplasty is one of the most commonly performed aesthetic surgeries among patients who are admitted to plastic surgeons. Recent research has focused on dorsal preservation in hump reduction and consequently dorsal preservation techniques have become more popular. The current study aimed to revise the push down technique by adding ostectomy.
In the present retrospective study, data from patients who underwent rhinoplasty to fix a nasal hump were assessed. All patients were administered the push down technique with ostectomy. Following these inclusion and exclusion criteria, the records of 52 patients were assessed (45 females and 7 males). The median age of the patients was 22.2 years. Patients were evaluated using the "Rhinoplasty Outcome Evaluation" (ROE) questionnaire both before surgery and 12 months after surgery. The follow-up period ranged between 13 and 21 months (median of 15.1 months).
Patients were evaluated before surgery and after one year of surgery by the ROE scale. The median of the ROE score before surgery was 63.4. The median score after one year of surgery was 91.6. Thus, the ROE score significantly increased 12 months after surgery (P<0.001).
This study was the first to demonstrate the benefits of performing the push down technique with ostectomy in terms of obtaining a wider nasal cavity. In addition, it can be assumed that the disadvantage of using the push down technique can be overcome with ostectomy.
隆鼻术是整形外科患者中最常进行的美容手术之一。最近的研究集中在驼峰减少的背侧保留上，因此背侧保留技术变得更加流行。本研究旨在通过添加截骨术来修改推下技术。
在本回顾性研究中，评估了接受隆鼻术以修复鼻驼峰的患者的数据。所有患者均接受了截骨术的推下技术。根据这些纳入和排除标准，评估了 52 名患者（45 名女性和 7 名男性）的记录。患者的中位年龄为 22.2 岁。患者在手术前和手术后 12 个月使用“隆鼻术结果评估”（ROE）问卷进行评估。随访时间为 13 至 21 个月（中位随访时间为 15.1 个月）。
患者在手术前和手术后一年通过 ROE 量表进行评估。手术前 ROE 评分的中位数为 63.4。手术后一年的中位数评分为 91.6。因此，手术后 12 个月 ROE 评分显著增加（P<0.001）。
本研究首次证明了在获得更宽的鼻腔方面，使用截骨术进行推下技术的优势。此外，可以假设使用推下技术的缺点可以通过截骨术克服。
