Maxillofacial Surgery and Implantology and Biomaterial Research Foundation, Tehran, Iran.
Department of Biostatistics and Epidemiology, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Aesthet Surg J. 2022 May 18;42(6):590-602. doi: 10.1093/asj/sjab409.
Insufficient support of the nasal mid-vault during rhinoplasty can cause significant complications. Accordingly, surgeons have recently paid much more attention to the preservation of nasal patency. The spreader graft is the gold standard technique for the reconstruction of nasal mid-vault.
The objective of this study was to compare the spreader graft and spreader flap in terms of aesthetic and functional outcomes.
An inclusive search was performed with PubMed/Medline, Google Scholar, and Cochrane Library databases up to April 2021. Multiple aesthetic and functional factors, including dorsal aesthetic lines restoration, satisfaction rate, internal nasal valve angle improvement, nasal obstruction symptom evaluation scale, and active anterior rhinomanometry were evaluated. Also, a meta-analysis was performed on the included articles that provided adequate data for mentioned factors.
After excluding papers that did not conform with the selection criteria, 10 articles with a total sample size of 567 cases with a mean age of 27.7 years (range, 18-65 years) were finally included. Analysis of the data revealed no statistically significant difference between the spreader graft and spreader flap techniques in terms of dorsal aesthetic lines restoration, internal nasal valve angle improvement, nasal obstruction symptom evaluation scale, and anterior rhinomanometry.
However, in terms of satisfaction rate, the analyzes indicated that spreader graft has significantly superior aesthetic outcomes. Generally, in case of appropriately selected patients, there is no statistically significant difference between spreader graft and spreader flap techniques in terms of aesthetic and functional outcomes.
鼻整形术中，如果对鼻中部穹窿的支撑不足，可能会导致严重的并发症。因此，外科医生最近更加关注保持鼻腔通畅。鼻中隔扩展移植物是重建鼻中部穹窿的金标准技术。
本研究旨在比较鼻中隔扩展移植物和鼻中隔扩展皮瓣在美学和功能结果方面的差异。
通过 PubMed/Medline、Google Scholar 和 Cochrane Library 数据库进行全面检索，检索时间截至 2021 年 4 月。评估了包括背侧美学线恢复、满意度、内鼻阀角改善、鼻塞症状评估量表和主动前鼻测压在内的多个美学和功能因素。此外，还对提供了上述因素充足数据的纳入文章进行了荟萃分析。
在排除不符合选择标准的论文后，最终纳入了 10 篇文章，共 567 例，平均年龄 27.7 岁（范围 18-65 岁）。数据分析显示，鼻中隔扩展移植物和鼻中隔扩展皮瓣技术在背侧美学线恢复、内鼻阀角改善、鼻塞症状评估量表和前鼻测压方面没有统计学上的显著差异。
然而，在满意度方面，分析表明鼻中隔扩展移植物具有明显更好的美学效果。通常情况下，在适当选择的患者中，鼻中隔扩展移植物和鼻中隔扩展皮瓣技术在美学和功能结果方面没有统计学上的显著差异。
