Deng Yiwen, Wang Xiancheng, Qiao Zhihua, Zhao Hongli, Li Chunjie, Tian Yi, Zeng Weiliang, Yan Qiaoding, Yang Kai, Sun Yang, Xiong Xiang
Department of Plastic and Aesthetic (Burn) Surgery, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Aesthetic Plast Surg. 2024 Apr;48(7):1321-1330. doi: 10.1007/s00266-023-03655-x. Epub 2023 Sep 25.
Nasal septal mucosal defects following rhinoplasty in Asian patients are uncommon complications. However, the reconstruction of such defects presents a challenging task in plastic surgery. The aim of this study was to present comprehensive surgical strategies for the reconstruction of nasal septal mucosal defect after rhinoplasty.
Thirteen cases presenting with nasal septal mucosal defects between January 2016 and October 2021 were retrospectively reviewed. The size, location, and severity of the defect as well as the extent of cartilage exposure were taken into consideration during evaluation, and surgical approaches were employed for repair accordingly. Patient satisfaction was evaluated using a questionnaire with visual analog scale (VAS) and nasal obstruction symptom evaluation scale (NOSE).
The average postoperative follow-up period in this study group was 10.15 months. Reconstruction of nasal septal mucosal defects resulted in successful treatment for all patients. There was no evidence of flap failure or nasal valve stenosis. All patients were satisfied with the reconstruction outcome.
The successful application of surgical techniques for nasal septal mucosal defects after rhinoplasty requires comprehensive consideration. The utilization of the retrograde-flow superior labial artery mucosal flap appears to be a secure, efficient, and effective technique for nasal septal mucosal defect reconstruction in rhinoplasty, particularly in cases with cartilage exposure.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
亚洲患者隆鼻术后鼻中隔黏膜缺损是一种少见的并发症。然而，修复此类缺损在整形外科中是一项具有挑战性的任务。本研究的目的是提出隆鼻术后鼻中隔黏膜缺损修复的综合手术策略。
回顾性分析2016年1月至2021年10月间13例鼻中隔黏膜缺损患者的临床资料。评估缺损的大小、位置、严重程度以及软骨暴露范围，并据此采用相应的手术方法进行修复。采用视觉模拟量表（VAS）和鼻阻塞症状评估量表（NOSE）问卷对患者满意度进行评估。
本研究组患者术后平均随访10.15个月。鼻中隔黏膜缺损修复术治疗所有患者均获成功。未发现皮瓣坏死或鼻瓣膜狭窄的证据。所有患者对修复效果均满意。
隆鼻术后鼻中隔黏膜缺损手术技术的成功应用需要综合考虑。逆行上唇动脉黏膜瓣似乎是一种安全、高效、有效的隆鼻术中鼻中隔黏膜缺损修复技术，尤其适用于软骨暴露的病例。
证据级别IV：本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
