Martins Lessandro, Fagundes Marina Serrato Coelho, Patrial Maria Theresa Costa Ramos de Oliveira, Muñoz-Gonzalez Cristina, Fakih-Gomez Nabil
Private Practice, Orion Business Health and Center, Goiania, Brazil.
Department of Facial Plastic and Cranio-Maxillo-Facial Surgery, Fakih Hospital, Khaizaran, 00000, Lebanon.
Aesthetic Plast Surg. 2025 May;49(10):2746-2753. doi: 10.1007/s00266-024-04388-1. Epub 2024 Sep 26.
Rhinoplasty is an ever-evolving field, with innovative techniques continually being developed to enhance both aesthetic and functional outcomes for patients. Increasingly, research has focused on the integral role of the facial skeleton in providing nasal support and projection. Central to the structural integrity of the nose is the maxillary bone, which occupies a pivotal position in the midface.
The objective of this study is to assess the outcomes of patients who underwent rhinoplasty involving the placement of a premaxillary graft fashioned from costal cartilage. The study aims to evaluate the graft's tolerance, stability, and potential complications. The patient cohort comprised individuals who underwent open approach rhinoplasty with premaxillary insufficiency, necessitating the placement of a costal cartilage graft anterior to the nasal spine, performed by the same surgeon between 2021 and 2022. A total of 38 patients, consisting of 5 men and 33 women aged between 18 and 58 years, were operated on during this period.
Consistent maintenance of tip support was observed across all cases. Among the 33 patients, 20 were randomly chosen for a comparative assessment of the nasolabial angle in preoperative and postoperative profile photographs, demonstrating a statistically significant improvement. No complications such as graft displacement, scarring, extrusion, or infections were reported.
The use of a premaxillary graft with costal cartilage appears to be a viable, well-tolerated option with favorable long-term outcomes.
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 .
隆鼻术是一个不断发展的领域，不断有创新技术被开发出来，以改善患者的美学和功能效果。越来越多的研究聚焦于面部骨骼在提供鼻支撑和鼻突出度方面的重要作用。鼻结构完整性的核心是上颌骨，它在中面部占据关键位置。
本研究的目的是评估接受隆鼻术并植入由肋软骨制成的前上颌移植物的患者的治疗效果。该研究旨在评估移植物的耐受性、稳定性及潜在并发症。患者队列包括在2021年至2022年间由同一位外科医生为因前上颌骨发育不全而接受开放式隆鼻术且需要在鼻棘前方植入肋软骨移植物的个体。在此期间，共对38例患者进行了手术，其中包括5名男性和33名女性，年龄在18至58岁之间。
所有病例均观察到鼻尖支撑得以持续维持。在33例患者中，随机选取20例用于术前和术后侧面照片中鼻唇角的对比评估，结果显示有统计学意义的改善。未报告移植物移位、瘢痕形成、挤出或感染等并发症。
使用带肋软骨的前上颌移植物似乎是一种可行的、耐受性良好且长期效果良好的选择。
证据等级IV：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。
