Department of Plastic and Reconstruction Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, 5, Fu-Hsing Street, Kweishan, Taoyuan City, 333, Taiwan, R.O.C.
Department of Plastic and Reconstruction Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, 5, Fu-Hsing Street, Kweishan, Taoyuan City, 333, Taiwan, R.O.C..
Aesthetic Plast Surg. 2022 Aug;46(4):1809-1815. doi: 10.1007/s00266-022-02864-0. Epub 2022 Apr 21.
Augmentation rhinoplasty is one of the top three anesthetic surgeries in Asia. I-shaped silicone-polytetrafluoroethylene composite implants are feasible for both primary and secondary augmentation rhinoplasty in Asians. This series was to analyze and evaluated the effect of the rhinoplasty to the intercanthal distance and to compare the height of the implantation with those differences in ICD before and after rhinoplasty. We retrospectively reviewed data from a single medical center via a single surgeon (Hsiao YC), at Chang Gung Memorial Hospital, between 2011 and 2017 with follow-up through 2018. There were 223 patients who received augmentation rhinoplasty with an I-shaped composite silicone-polytetrafluoroethylene ePTFE-lined silicone dorsal composite implant (Implantech, Ventura, CA) with a glabellar component (chimeric technique) or without a glabellar component. There were 169 patients with the height of the I-shaped composite implant over 3 mm, and 15 patients were less than 3 mm. There was no distribution significance between two groups even in gender, age, type of surgery, or indication. The paired difference of ICD/IPD ratio was statistically significant in the group with the height of composite implant over 3 mm (1.04% ± 0.11, p < 0.005, 95%). The normalized ratio of the ICD to IPD is estimated to decrease by 1-2%. Appropriate candidates including those with a wide ICD should be informed about these data during preoperative decision-making.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
隆鼻术是亚洲三大麻醉手术之一。I 型硅橡胶-聚四氟乙烯复合材料植入物可用于亚洲人的原发性和继发性隆鼻术。本系列旨在分析和评估隆鼻术对两眼内眦间距的影响，并比较隆鼻术前后 ICD 植入高度与这些差异。我们回顾性分析了 2011 年至 2017 年在长庚纪念医院由同一位医生（萧耀昌）进行的单中心数据，随访至 2018 年。共有 223 例患者接受了 I 型复合硅橡胶-聚四氟乙烯（Implantech， Ventura，CA）隆鼻术，其中 169 例植入物高度超过 3mm，15 例植入物高度小于 3mm。两组患者在性别、年龄、手术类型或适应证方面无明显差异。复合植入物高度超过 3mm 的患者 ICD/IPD 比值的配对差值具有统计学意义（1.04%±0.11，p<0.005，95%）。ICD 与 IPD 的归一化比值估计减少 1-2%。对于合适的患者，包括两眼内眦间距较宽的患者，在术前决策时应告知他们这些数据。证据等级 V 本杂志要求作者为每篇文章分配一个证据等级。有关这些循证医学评级的完整描述，请参考目录或在线作者指南 www.springer.com/00266 。
