Department of Plastic Reconstructive and Aesthetic Surgery, Erciyes University School of Medicine, Melikgazi, Kayseri.
Hamidiye Mahallesi Rauf Denktaş Caddesi, Kepez, Çanakkale, Turkey.
J Craniofac Surg. 2022 Jun 1;33(4):1108-1110. doi: 10.1097/SCS.0000000000008076. Epub 2021 Aug 10.
One of the methods applied to ensure the long-term continuity of the desired result in rhinoplasty is to detect it by placing columellar strut between the medial crus. Columellar strut helps to increase tip support and projection. However, the placement of the strut between the medial crus can disrupt the divergence angle and prevent the tip rotation to be at the desired level due to the interaction of the septum with the caudal. in this study, the data obtained by fixing the columellar strut to the lateral faces of the medial crus are shared. in 51 primary rhinoplasty patients who underwent open rhinoplasty, the medial crus was dissected and released. The distance between the footplates and the new domes was measured and the length of the columellar struts was determined. Grafts obtained from cartilage septum were shaped. After symmetry was achieved between the medial crus, the prepared grafts were fixed to the lateral face of the medial crus. Preoperative and postoperative 12th month images were transferred to computer- aided program and nasolabial angles were measured. The obtained data were transferred to SPSS 22.0 (IBM Corp., Armonk, New York, USA) program and statistical comparisons were made. Fifty one patients were included in the study. Thirty eight of the patients were female and 13 were male. The mean age of the patients included in the study was 29.2 years. The mean preoperative nasolabial angle was 90.2 degrees postoperatively, and the average nasolabial angle was 104.2 degrees at 6 months. A statistically significant difference was found between preoperative and postoperative measurements (P < 0.05). Lateral columellar strut is an effective and reliable and novel method for increasing the stability of medial crus, maintaining tip support in postoperative period and increasing tip rotation.
在鼻整形术中，为了确保所需效果的长期连续性，一种方法是在鼻中隔脚之间放置鼻中隔支撑物来进行检测。鼻中隔支撑物有助于增加鼻尖支撑和突出度。然而，由于鼻中隔与尾侧的相互作用，鼻中隔脚之间放置支撑物会破坏鼻中隔脚的分叉角度，并阻止鼻尖旋转到所需的水平。在这项研究中，我们分享了将鼻中隔支撑物固定到鼻中隔脚外侧的获得的数据。在 51 名接受开放式鼻整形术的原发性鼻整形术患者中，我们对鼻中隔脚进行解剖和松解。测量了脚架和新穹顶之间的距离，并确定了鼻中隔支撑物的长度。从鼻中隔软骨中获取移植物并进行塑形。在鼻中隔脚达到对称后，将准备好的移植物固定到鼻中隔脚的外侧。将术前和术后 12 个月的图像传输到计算机辅助程序，并测量鼻唇角。将获得的数据传输到 SPSS 22.0（IBM 公司，纽约州阿蒙克）程序并进行统计比较。该研究纳入了 51 例患者。其中 38 例为女性，13 例为男性。纳入研究的患者平均年龄为 29.2 岁。术前鼻唇角平均为 90.2 度，术后 6 个月平均鼻唇角为 104.2 度。术前和术后测量值之间存在统计学显著差异（P ＜0.05）。外侧鼻中隔支撑物是一种有效且可靠的新方法，可增加鼻中隔脚的稳定性，在术后维持鼻尖支撑，并增加鼻尖旋转。
