Anco Norman, Caballero Gonzalo C, Valverde Karen, Nuñez José
From Private Practice-Clínica Higuereta, Lima, Peru.
Private Practice, Lima, Peru.
Plast Reconstr Surg Glob Open. 2024 Sep 6;12(9):e6139. doi: 10.1097/GOX.0000000000006139. eCollection 2024 Sep.
The approach to revision rhinoplasty is a challenge that plastic surgeons often face. The objective of this communication is to describe a surgical algorithm for patients undergoing revision rhinoplasty based on the stability of the nasal dorsum.
The study included 18 patients, six men and 12 women, aged 19-54 years, who had previously undergone rhinoplasty and who visited our clinic to request a new procedure due to unsatisfactory results in those procedures. A surgical algorithm developed by the main author (N.A.) was followed for revision rhinoplasty, and then a validated rhinoplasty outcome evaluation questionnaire was applied 1 year after surgery to assess aesthetic outcomes.
The questionnaire was applied to all participants, showing a significant increase in patient satisfaction. Before surgery, a minimum value of six and a maximum of 21 (mean of 12) were found. After revision rhinoplasty following the proposed surgical algorithm, a minimum value of 21 and a maximum of 30 (mean of 29) were found, and this difference was statistically significant ( < 0.001).
The surgical algorithm used for nasal dorsum reconstruction in patients undergoing revision rhinoplasty improved patient satisfaction and could be a feasible procedure to approach patients who have previously undergone rhinoplasty.
鼻整形修复手术是整形外科医生经常面临的一项挑战。本交流的目的是描述一种基于鼻背稳定性的鼻整形修复手术算法。
该研究纳入了18例患者，其中男性6例，女性12例，年龄在19至54岁之间，这些患者之前均接受过鼻整形手术，因对手术效果不满意而前来我们诊所要求进行新的手术。鼻整形修复手术遵循主要作者（N.A.）制定的手术算法，术后1年应用经过验证的鼻整形手术效果评估问卷来评估美学效果。
问卷应用于所有参与者，结果显示患者满意度显著提高。手术前，得分最小值为6分，最大值为21分（平均12分）。按照所提出的手术算法进行鼻整形修复手术后，得分最小值为21分，最大值为30分（平均29分），且这种差异具有统计学意义（<0.001）。
用于鼻整形修复手术患者鼻背重建的手术算法提高了患者满意度，对于之前接受过鼻整形手术的患者来说可能是一种可行的手术方法。
