Kumar Ravi, Darr Adnan, Gill Charn, Bhamra Navdeep, Mistry Nina, Barraclough James
Otolaryngology, The Royal Wolverhampton NHS Trust, Wolverhampton, GBR.
Cureus. 2022 Jul 4;14(7):e26547. doi: 10.7759/cureus.26547. eCollection 2022 Jul.
Objectives The use of autologous grafts is a key aspect of contemporary septorhinoplasty. When septal cartilage is deficient, auricular cartilage serves as a biocompatible, readily accessible alternative. Our study aimed to assess donor site patient-reported outcome measures (PROMs) where auricular cartilage has been harvested for use in septorhinoplasty, adding to the limited existing literature on this topic. Design A dual-centre, single-surgeon retrospective analysis of patients undergoing septorhinoplasty surgery with augmentation using auricular cartilage grafts was conducted. Grafts were harvested using an anterior anti-helical approach. Patients were followed up at one week, three months and 12 months post-operatively. Donor site outcomes were assessed across several physical and psychological domains by adapting the EAR-Q questionnaire, which was administered via telephone consultation. Responses were quantified using a Likert scale. Results A total of 22 patients met our inclusion criteria. Four were lost to follow-up, five were non-responders and one case was excluded due to documentation of body dysmorphic disorder. A significant proportion of patients reported no reduction in quality of life (QOL) or confidence attributed to donor site cosmesis. High satisfaction was noted with anti-helical donor site scars. Although noticeable differences in shape and symmetry were reported, these had negligible effects across psychological domains. Conclusions Preliminary results suggest high levels of patient satisfaction, with minimal physical and psychological donor site sequelae following auricular cartilage harvest in septorhinoplasty. Subsequent studies should involve the use of validated questionnaires, coupled with larger patient cohorts in order to provide further data for statistical analysis.
目的 自体移植物的使用是当代鼻中隔成形术的一个关键方面。当鼻中隔软骨不足时，耳软骨可作为一种生物相容性良好、易于获取的替代材料。我们的研究旨在评估在鼻中隔成形术中获取耳软骨的供体部位患者报告结局指标（PROMs），以补充该主题现有有限的文献。
设计 对接受鼻中隔成形术并使用耳软骨移植进行隆鼻的患者进行双中心、单术者回顾性分析。采用前耳轮脚入路获取移植物。术后1周、3个月和12个月对患者进行随访。通过改编EAR-Q问卷，通过电话咨询对供体部位结局在多个身体和心理领域进行评估。使用李克特量表对回答进行量化。
结果 共有22例患者符合我们的纳入标准。4例失访，5例无应答，1例因记录有躯体变形障碍而被排除。相当一部分患者报告称，供体部位美容对生活质量（QOL）或自信心没有降低。患者对耳轮脚供体部位瘢痕满意度较高。尽管报告了形状和对称性存在明显差异，但这些差异在心理领域的影响可忽略不计。
结论 初步结果表明患者满意度较高，鼻中隔成形术获取耳软骨后供体部位的身体和心理后遗症极小。后续研究应使用经过验证的问卷，并纳入更大的患者队列，以便为统计分析提供更多数据。
