Department of Health Sciences, Nişantaşı University, İstanbul, Turkey.
Aesthet Surg J. 2021 May 18;41(6):NP267-NP280. doi: 10.1093/asj/sjaa436.
The nose is an important part of the face and plays a significant role in interpersonal communication and self-esteem. Dorsal preservation techniques, such as the push-down and let-down techniques, are employed for dorsal hump reductions.
In this study, several approaches were defined in which the let-down and push-down techniques were applied depending on the patients' needs.
The records of 64 patients were assessed retrospectively. The patients who underwent either the push-down or let-down technique for hump reduction and who were eligible for these new approaches were included. In this research, the distal part of the septum remained intact after both the push-down and let-down techniques. Patients were assessed before and 1 year after surgery employing the Rhinoplasty Outcome Evaluation (ROE).
The follow-up period ranged from 16 to 25 months (median of 19.2 months). The median ROE score before surgery was 61.6 (minimum: 58; maximum: 64) and increased to 92.2 (minimum: 82; maximum: 96) points 12 months after surgery. This increase in the ROE score was statistically significant (P < 0.001). The excellent satisfaction rate was 93.75% according to the ROE scale.
These approaches for the let-down and push-down techniques will lead to better results and present different choices to surgeons. The present study is also the first to the author's knowledge to demonstrate leaving behind an intact area of the distal septum in the push-down and let-down techniques.
鼻子是面部的重要组成部分，在人际交流和自尊心方面起着重要作用。采用推下和放下技术等鼻部保留技术来减少驼峰。
本研究中，根据患者的需求，定义了几种应用推下和放下技术的方法。
回顾性评估了 64 例患者的记录。纳入接受推下或放下技术以减少驼峰且符合这些新方法标准的患者。在本研究中，推下和放下技术后鼻中隔的远端保持完整。在手术前和手术后 1 年，使用隆鼻术结果评估 (ROE) 对患者进行评估。
随访时间为 16 至 25 个月（中位数为 19.2 个月）。手术前 ROE 评分中位数为 61.6（最小值：58；最大值：64），手术后 12 个月增加至 92.2（最小值：82；最大值：96）分。ROE 评分的增加具有统计学意义（P < 0.001）。根据 ROE 量表，满意度优秀率为 93.75%。
这些推下和放下技术的方法将带来更好的结果，并为外科医生提供不同的选择。据作者所知，本研究首次证明在推下和放下技术中留下完整的鼻中隔远端。
