El Badawy Yasser, El Saloussy Yasmeen
Medline Clinics, Sheikh Zayed City, Giza, Egypt.
Royal College of Surgeons of Edinburgh, Edinburgh, Scotland, U.K.
Plast Reconstr Surg Glob Open. 2021 Oct 19;9(10):e3880. doi: 10.1097/GOX.0000000000003880. eCollection 2021 Oct.
One of the faced difficulties of nasal tip surgery is progressive loss of nasal tip projection and rotation postoperatively. Nasal base stabilization by septal extension grafts has shown to improve this loss over time. The aim of this study was to demonstrate that a modified septal extension graft can provide the required tip rotation/derotation by changing the angle of the graft's insertion. In addition, it maintains nasal tip projection without creating a rigid tip. Other than that it avoids the requirement of a large amount of cartilage.
MATERIALS/METHODS: This study involves a retrospective review of 37 patients who underwent open rhinoplasty for primary or secondary cases over a period of 12 months. The average age of the patients was 28 years (range = 20-43 years), and all patients were of Middle Eastern origin. Subjective evaluation based on photographic analysis was used pre and postoperatively.
All cases included in this study maintained their operative results of tip rotation. Two cases showed a minimal decrease in tip projection documented upon review 6-12 months postoperatively. No patient needed secondary revision surgery due to changes in tip projection or rotation. The objective pre and postoperative findings were satisfying for the patients and surgeons.
The modified septal extension graft is an effective tool for rotation of the nasal tip as well as derotation of an over rotated tip. It is also capable of maintaining nasal tip projection.
鼻尖手术面临的困难之一是术后鼻尖突出度和旋转度逐渐丧失。随着时间的推移，采用鼻中隔延伸移植物稳定鼻基底已显示可改善这种丧失情况。本研究的目的是证明一种改良的鼻中隔延伸移植物可通过改变移植物的插入角度来提供所需的鼻尖旋转/反旋转。此外，它能保持鼻尖突出度而不形成僵硬的鼻尖。除此之外，它避免了需要大量软骨的情况。
材料/方法：本研究对37例在12个月期间接受初次或二次开放式鼻整形手术的患者进行回顾性分析。患者的平均年龄为28岁（范围 = 20 - 43岁），所有患者均为中东裔。术前和术后采用基于照片分析的主观评估。
本研究纳入的所有病例均保持了鼻尖旋转的手术效果。2例患者在术后6 - 12个月复查时显示鼻尖突出度略有下降。没有患者因鼻尖突出度或旋转度的改变而需要二次修复手术。术前和术后的客观结果令患者和外科医生满意。
改良的鼻中隔延伸移植物是一种用于鼻尖旋转以及过度旋转鼻尖反旋转的有效工具。它也能够保持鼻尖突出度。
