Department of Plastic, Reconstructive, and Aesthetic Surgery, Adana Faculty of Medicine, Health Application and Research Center, University of Health Sciences, 01200, Adana, Turkey.
Private Clinic, Izmir, Turkey.
Aesthetic Plast Surg. 2022 Aug;46(4):1783-1793. doi: 10.1007/s00266-022-02822-w. Epub 2022 Feb 24.
The midvalve area is one of the most important anatomical points in rhinoplasty procedures. An additional intervention may be required to ensure there is no narrowing in this region. For this reason, several different techniques are used. Spreader graft technique is the most common of all these methods. T-splay graft technique is an alternative method that can effectively widen the angle of the midvalve. The present study compares the anatomical and functional outcomes of these two methods.
The study included 60 cases who presented to our clinic for rhinoplasty. The cases were evaluated demographically, anatomically, and functionally, and the acquired data were recorded. All cases were preoperatively administered the Visual Analogue Scale, the Nasal Obstruction Symptom Evaluation scale, and the modified Glatzel mirror test. By randomly selecting the cases, midvalve restoration was performed with a spreader graft in 30 cases and a T-splay graft in 30 cases.
A comparison of the Visual Analogue Scale, the Nasal Obstruction Symptom Evaluation scale, and the modified Glatzel mirror test scores revealed that the scores of both groups at postoperative months 3 and 6 were significantly different from the preoperative measurement values.
Although spreader graft technique is a very effective method in midvalve management, we believe that T-splay graft technique may also produce effective outcomes. In addition, the midvalve functions could be better simulated anatomically and functionally with T-splay graft technique. Therefore, we believe that T-splay graft technique is an alternative method that can be safely used in selected cases.
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中鼻甲区域是鼻整形术中最重要的解剖学要点之一。为了确保该区域不狭窄，可能需要进行额外的干预。为此，使用了几种不同的技术。撑开器移植物技术是所有这些方法中最常见的。T 型劈裂移植物技术是一种可以有效拓宽中鼻甲角度的替代方法。本研究比较了这两种方法的解剖学和功能结果。
本研究纳入了 60 例因鼻整形术就诊于我院的患者。对这些患者进行了人口统计学、解剖学和功能评估，并记录了所获得的数据。所有患者术前均进行了视觉模拟量表、鼻阻塞症状评估量表和改良 Glatzel 镜检查。通过随机选择病例，在 30 例中鼻甲用撑开器移植物修复，在 30 例中鼻甲用 T 型劈裂移植物修复。
比较视觉模拟量表、鼻阻塞症状评估量表和改良 Glatzel 镜检查评分显示，两组术后 3 个月和 6 个月的评分与术前测量值均有显著差异。
虽然撑开器移植物技术是中鼻甲管理的一种非常有效的方法，但我们认为 T 型劈裂移植物技术也可能产生有效的结果。此外，T 型劈裂移植物技术可以更有效地模拟中鼻甲的解剖学和功能。因此，我们认为 T 型劈裂移植物技术是一种可以在选定病例中安全使用的替代方法。
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