From Nisantasi University.
Plast Reconstr Surg. 2023 Nov 1;152(5):1002-1006. doi: 10.1097/PRS.0000000000010468. Epub 2023 Mar 28.
In this article, the author describes a new closed rhinoplasty technique in which the Pitanguy ligament was protected, ultimately resulting in better supratip break, tip projection, and tip rotation. Based on the inclusion and exclusion criteria, the records of 156 patients who underwent surgery with this "Pitanguy ligament protection and suturing" technique were evaluated retrospectively. In this novel technique, the Pitanguy ligament was dissected from the proximal and distal points with scissors in the lower third, and it was left intact. There was no need for revision operations in any patient. Twelve months after surgery, the Rhinoplasty Outcome Evaluation scores ranged between 80 and 100 points. The median score was 86.5 points. Patient satisfaction was excellent in 90% of the included cases. Protection of the Pitanguy ligament and attachment of this ligament to the nasal tip create better tip definition and generate several aesthetic and functional advantages.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
本文作者介绍了一种新的闭合式隆鼻技术，该技术中保护了皮坦基韧带，最终实现了更好的鼻尖突出度、鼻尖突出和鼻尖旋转。基于纳入和排除标准，回顾性评估了 156 名接受“皮坦基韧带保护与缝合”技术手术患者的记录。在这项新技术中，使用剪刀在下三分之一处从近端和远端切开皮坦基韧带，使其保持完整。没有患者需要进行修正手术。术后 12 个月，鼻整形术结果评估评分在 80 至 100 分之间，中位数为 86.5 分。90%的患者对治疗效果非常满意。保护皮坦基韧带并将其附着于鼻尖，可使鼻尖形态更加清晰，产生多种美学和功能优势。
临床问题/证据水平：治疗，IV。
