Department of Surgery, College of Medicine, University of Duhok, Nakhoshkhana Road, 8 AM-1014, Duhok, Kurdistan Region, Iraq.
Department of Surgery, College of Medicine, University of Duhok, Nakhoshkhana Road, 8 AM-1014, Duhok, Kurdistan Region, Iraq.
Ann Chir Plast Esthet. 2022 Sep;67(4):239-244. doi: 10.1016/j.anplas.2022.05.004. Epub 2022 Jun 4.
Preservation rhinoplasty resulted in a major change in the philosophy of rhinoplasty surgery, it include 3 main elements: elevation of a sleeve of skin from the subperichondrial-subperiosteal plane, preservation of the osseo-cartilaginous dorsum, and maintaining the alar cartilages with minimum excision while achieving the desired shape using sutures.
This is prospective study included 113 patients who underwent dorsal preservation rhinoplasty for nasal hump treatment. Patients were followed for 15months after surgery.
To compare the different outcomes between V-shaped and S-shaped dorsum regarding the cosmetic and functional outcomes after preservation rhinoplasty.
The mean age of our patients was 27.19years, females constituted 61.1%. Most patients (77.9%) had no complications after surgery, residual hump was the commonest in 13.3% of the patients, other complications were dorsal indentation in 5.3%, bleeding in 2.7%, and granuloma at the dorsal osteotomy site in 0.9% of patients. About 75.22% had S-shaped deformity, and the rest 24.78% had V-shaped deformity. The correlation was not significant between the types of the nasal hump deformity and the gender (P-value 0.395), age of patients (P-value 0.064), the overall postoperative SCHNOS for obstructive symptoms (P-value 0.19), the overall postoperative SCHNOS for aesthetic outcome (P-value 0.33), the postoperative complications (P-value 0.531), and the type of complications (0.705), while it was very significant with different postoperative SCHNOS scores for obstructive symptoms (P-value 0.000), postoperative SCHNOS different aesthetic scores (P-value 0.001), operation time and lowering the dorsal hump (P-values 0.000) for both.
Preservation rhinoplasty has low risk for postoperative complications. V-shaped deformity has a better overall outcome than S-shaped one.
保存性隆鼻术极大地改变了隆鼻术的理念，它包含 3 个主要元素：从软骨膜下-骨膜下平面提起袖套状皮肤、保存骨性-软骨性的背侧、在实现期望的形状的同时，通过缝线实现最小的鼻翼软骨切除。
这是一项前瞻性研究，共纳入 113 例接受背侧保存性隆鼻术治疗鼻驼峰的患者。术后对患者随访 15 个月。
比较 V 形和 S 形背侧在保存性隆鼻术后的美容和功能结果方面的不同。
患者的平均年龄为 27.19 岁，女性占 61.1%。大多数患者（77.9%）术后无并发症，残留驼峰为最常见的并发症，占 13.3%，其他并发症包括背侧凹陷（5.3%）、出血（2.7%）和背侧截骨部位肉芽肿（0.9%）。约 75.22%的患者存在 S 形畸形，其余 24.78%的患者存在 V 形畸形。鼻驼峰畸形类型与性别（P 值 0.395）、患者年龄（P 值 0.064）、术后整体 SCHNOS 阻塞症状评分（P 值 0.19）、术后整体 SCHNOS 美学评分（P 值 0.33）、术后并发症（P 值 0.531）和并发症类型（P 值 0.705）之间无显著相关性，而与术后 SCHNOS 阻塞症状评分（P 值 0.000）、术后 SCHNOS 美学评分（P 值 0.001）、手术时间和降低背侧驼峰（P 值均为 0.000）之间存在显著相关性。
保存性隆鼻术术后并发症风险较低。V 形畸形的总体效果优于 S 形畸形。
