Department of Health Sciences, PrivatePractice, Nişantaşi University.
Deparment of Plastic, Aesthetic and Reconstructive Surgery, Nişantaşi University, Medical School, Istanbul, Turkey.
J Craniofac Surg. 2023;34(8):2497-2500. doi: 10.1097/SCS.0000000000009564. Epub 2023 Aug 9.
Dorsal hump deformity is prevalent in Caucasians because of their nasal structure. The dorsal preservation techniques became more popular in recent years. However, there is still not a clear solution for patients who have nasal hump deformity and a wide nasal roof. The present study aims defining a new technique that combines push-down or let-down procedures with ostectomy in patients who have nasal hump deformity and a wide nasal roof. In the present research, the records of patients were assessed retrospectively. The patients who had nasal hump deformity and who have undergone either push-down or let-down approaches were included. The push-down or let-down techniques used in this study involved ostectomy to reduce the nasal hump and narrow the nasal roof. The initial median Rhinoplasty Outcome Evaluation score before surgery was 57.5, which significantly improved to 93.00 points at 12 months after surgery ( P <0.001). The study suggests that experienced surgeons using push-down and let-down techniques can achieve better esthetic results in patients with a wide nasal roof.
驼峰畸形在白种人中较为常见，这与他们的鼻结构有关。近年来，鼻部保存技术变得越来越流行。然而，对于那些既有驼峰畸形又有宽鼻顶的患者，仍然没有一个明确的解决方案。本研究旨在定义一种新的技术，该技术将推下或放下手术与截骨术相结合，用于治疗既有驼峰畸形又有宽鼻顶的患者。在本研究中，回顾性评估了患者的记录。纳入了既有驼峰畸形又接受过推下或放下手术的患者。本研究中使用的推下或放下技术涉及截骨术以减少驼峰并缩小鼻顶。术前中位数鼻整形术结果评估评分初始为 57.5，术后 12 个月显著改善至 93.00 分（P<0.001）。研究表明，经验丰富的外科医生使用推下和放下技术可以为宽鼻顶的患者获得更好的美学效果。
