Department of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Aesthetic Plast Surg. 2024 May;48(10):1926-1934. doi: 10.1007/s00266-023-03619-1. Epub 2023 Sep 5.
The demand for rhinoplasty in Asia is growing annually, and short nose deformity has been one of the main reasons for the surgery due to its high incidence. There is an urgent need for rhinoplasty suitable for Asians because of their different facial features from Westerners. The M-shaped auricular cartilage rhinoplasty has been developed as a new method for correcting short nose deformity for Asians. This study aimed to evaluate the aesthetic and functional results of M-shaped auricular cartilage rhinoplasty compared to clinically commonly used rhinoplasty methods.
A total of 45 patients were enrolled and divided into three groups of 15 patients: The first group underwent M-shaped auricular cartilage rhinoplasty, the second group underwent auricular-septal cartilage rhinoplasty, and the third group underwent overlapped auricular cartilage rhinoplasty. All of these patients underwent comprehensive rhinoplasty and had silicone or expanded polytetrafluoroethylene implants in the dorsum of their noses.
The patient score improvements on the three patient-reported outcome measures were higher in the M-shaped auricular cartilage rhinoplasty group (1.65/1.79/0.11) compared with the overlapped auricular cartilage rhinoplasty group (1.40/1.51/0.05), and the score improvements in the auricular-septal cartilage rhinoplasty group (2.04/1.98/0.28) were the highest.
This is a retrospective clinical study demonstrating the clinical efficacy of M-shaped auricular cartilage rhinoplasty. Compared with the overlapped auricular cartilage rhinoplasty, the effect of this novel M-shaped method is better. However, when compared to the auricular-septal cartilage rhinoplasty with septal extension and reinforcement using nasal septal cartilage, its effect is slightly worse.
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亚洲的隆鼻需求逐年增长，短鼻畸形是手术的主要原因之一，因为其发病率较高。由于亚洲人和西方人面部特征不同，迫切需要适合亚洲人的隆鼻方法。M 形耳软骨隆鼻术已被开发为一种矫正亚洲人短鼻畸形的新方法。本研究旨在评估 M 形耳软骨隆鼻术与临床上常用的隆鼻方法相比的美学和功能效果。
共纳入 45 例患者，分为三组，每组 15 例：第一组行 M 形耳软骨隆鼻术，第二组行耳甲鼻中隔软骨隆鼻术，第三组行重叠耳软骨隆鼻术。所有患者均行综合隆鼻术，鼻背部植入硅胶或膨化聚四氟乙烯植入物。
M 形耳软骨隆鼻组患者在 3 项患者报告结局测量中的评分改善（1.65/1.79/0.11）高于重叠耳软骨隆鼻组（1.40/1.51/0.05），耳甲鼻中隔软骨隆鼻组（2.04/1.98/0.28）的评分改善最高。
这是一项回顾性临床研究，证明了 M 形耳软骨隆鼻术的临床疗效。与重叠耳软骨隆鼻术相比，这种新型 M 形方法的效果更好。然而，与使用鼻中隔软骨进行鼻中隔延伸和加固的耳甲鼻中隔软骨隆鼻术相比，其效果略差。
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