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一种用于修复鼻整形术中降低鼻尖突出度的新技术，可替代外侧脚覆盖技术。

A New Technique for Use Instead of Lateral Crural Overlay for Reduction of Nasal Tip Projection in Revision Rhinoplasty.

作者信息

Resuli Ali Seyed, Öktem Fatih

机构信息

Department of Otorhinolaryngology, İstanbul Yeni Yüzyıl University Faculty of Medicine, İstanbul, Turkey.

Department of Otorhinolaryngology, İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey.

出版信息

Turk Arch Otorhinolaryngol. 2023 Mar;61(1):8-13. doi: 10.4274/tao.2022.2022-6-13. Epub 2023 Aug 11.

DOI:10.4274/tao.2022.2022-6-13
PMID:37583972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10424582/
Abstract

OBJECTIVE

Correction of nasal tip projection (NTP) deformities involve techniques for the lower lateral cartilage of the nose. Previously, it would have been surgically difficult to perform the lateral crural overlay (LCO) technique for the second time in revision rhinoplasty in patients who already had undergone rhinoplasty with the LCO technique because of the length of the NTP. In this study, we evaluated the lateral crural segmental excision (LCSE) technique in patients with overprojected nasal tip in revision rhinoplasty.

METHODS

We retrospectively studied the cases of 19 patients who had initially undergone rhinoplasty with the LCO technique for overprojected nasal tip, and later underwent revision rhinoplasty with the LCSE technique after insufficient NTP was observed on facial analysis between 2018 and 2022.

RESULTS

Of the patients, 12 (63%) were male, with an average age of 29.6 years, and 7 (17%) patients were female, with an average age of 25.3 years. Using Goode's formula, NTP indexes of patients measured 79.4±1.8 preoperatively and 56.0±1.3 postoperatively. Stastically significant difference was observed between preoperative and postoperative values. None of the patients had malnutrition at the incision margins, and all patients recovered on time and without any problems. Granulation tissue was detected in the mucosa in only one patient.

CONCLUSION

The LCSE technique, with a short surgical time, recovery period without complications, and satisfactory nasal respiratory function, is preferred over a second LCO application in cases of NTP.

摘要

目的

鼻尖突出度（NTP）畸形的矫正涉及鼻部下外侧软骨的技术。以前，对于已经接受过外侧脚覆盖（LCO）技术隆鼻手术的患者，由于鼻尖突出度的原因，在修复隆鼻术中再次进行LCO技术手术会很困难。在本研究中，我们评估了修复隆鼻术中鼻尖过度突出患者的外侧脚节段性切除（LCSE）技术。

方法

我们回顾性研究了19例患者的病例，这些患者最初因鼻尖过度突出接受了LCO技术隆鼻手术，后来在2018年至2022年期间面部分析发现鼻尖突出度不足后，接受了LCSE技术修复隆鼻手术。

结果

患者中，12例（63%）为男性，平均年龄29.6岁，7例（17%）为女性，平均年龄25.3岁。使用古德公式，患者术前鼻尖突出度指数为79.4±1.8，术后为56.0±1.3。术前和术后值之间观察到统计学上的显著差异。所有患者切口边缘均无营养不良，均按时康复且无任何问题。仅1例患者黏膜中检测到肉芽组织。

结论

在鼻尖突出度的病例中，LCSE技术手术时间短，恢复期无并发症，鼻呼吸功能良好，优于再次应用LCO技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/ac8ff7263470/tao-61-8-g7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/8cd3eafa40ae/tao-61-8-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/d049a2709d43/tao-61-8-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/8bcc301b2753/tao-61-8-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/889ac6757e77/tao-61-8-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/18d1d296a9f9/tao-61-8-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/208a7a814f92/tao-61-8-g6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/ac8ff7263470/tao-61-8-g7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/8cd3eafa40ae/tao-61-8-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/d049a2709d43/tao-61-8-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/8bcc301b2753/tao-61-8-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/889ac6757e77/tao-61-8-g4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/18d1d296a9f9/tao-61-8-g5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/208a7a814f92/tao-61-8-g6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/401d/10424582/ac8ff7263470/tao-61-8-g7.jpg

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