17th Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.
J Craniofac Surg. 2023;34(2):480-484. doi: 10.1097/SCS.0000000000008898. Epub 2022 Aug 15.
Surgical techniques and graft materials are important factors for short nose lengthening in both primary and revision rhinoplasty in Asian patients. Other subunit of the nose need to be improved as well to achieve aesthetic perfection.
A cohort of 98 patients who underwent primary and revision rhinoplasty for moderate to severe short nose deformity from January 1, 2019, to December 31, 2020, were enrolled. Nasal elongation was achieved via an open rhinoplasty approach using autologous costal cartilage exclusively for grafting. Aesthetic outcomes were evaluated by anthropometric measurement and satisfaction assessment from patients and physicians.
The mean duration of follow-up was 10.6 months. In both primary and revision cases, nasal length relative to preoperative measurements increased significantly, while nasal tip projection did not differ significantly. Columellar-facial angle and nasofrontal angle decreased significantly in both groups. Both physicians and patients reported improvement in aesthetic outcomes.
Aesthetic satisfaction was reported from both patients and physicians. Autologous costal cartilage is an ideal graft material that offers strong structural support. Caudal septal extension graft using autologous costal cartilage sandwiched by extended spreader grafts achieve satisfactory lengthening of the central compartment and also increase nasal tip projection and rotation.
在亚洲患者的原发性和修复性鼻整形术中，手术技术和移植物材料是短鼻延长的重要因素。为了达到美学上的完美，还需要改善其他亚单位的鼻子。
回顾性分析了 2019 年 1 月 1 日至 2020 年 12 月 31 日期间因中重度短鼻畸形接受原发性和修复性鼻整形术的 98 例患者的临床资料。所有患者均采用开放式鼻整形术，仅使用自体肋软骨进行移植来实现鼻延长。通过对患者和医生的人体测量和满意度评估来评估美学效果。
平均随访时间为 10.6 个月。在原发性和修复性病例中，与术前测量相比，鼻长均显著增加，而鼻尖突出度无显著差异。两组的鼻中隔-面部角和鼻额角均显著降低。医生和患者均报告了美学效果的改善。
患者和医生均报告了美学满意度。自体肋软骨是一种理想的移植物材料，具有很强的结构支撑力。使用自体肋软骨的鼻中隔尾侧延伸移植物，并用扩展型移植物夹在中间，可实现鼻中隔中央部分的满意延长，同时增加鼻尖突出度和旋转度。
