Kemal Özgür, Tahir Emel, Çolak Ozan, Aktaş Mustafa
Department of Otolaryngology, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey.
Aesthet Surg J. 2025 Jul 15;45(8):761-769. doi: 10.1093/asj/sjaf050.
Rhinoplasty is a common cosmetic and functional procedure that aims to enhance nasal aesthetics and airway function. Dorsal preservation rhinoplasty (DPR) is increasingly favored for its ability to preserve the natural anatomy of the nose while minimizing complications. This study sought to identify ideal candidates for DPR by analyzing anatomical parameters that affect surgical outcomes.
The aim of this study was to determine the suitability of patients for dorsal preservation surgery through preoperative radiological measurements.
A prospective observational study was conducted in the otorhinolaryngology department of a tertiary hospital, involving 43 patients undergoing high-strip dorsal preservation rhinoplasty. Preoperative and intraoperative CT scans were performed to assess nasal anatomy, focusing on features like nasal bone length, radix root to nasal tip distance, and the kyphion angle. The overall surgical success (OSS) score was utilized to measure outcomes, calculated by subtracting complications, reoperations, and hospitalizations from a base score of 10.
The cohort included 43 patients (6 males, 37 females), with a mean age of 26.4. Intraoperative data revealed that 55.8% required hump rasping and 27.9% had residual humps at 6 months. Positive correlation was found between longer radix root to nasal bone tip distances and lower OSS scores (r = 0.31, P = .043). Shorter nasal bones were associated with higher OSS scores (r = -0.45, P = .002), and larger kyphion angles correlated with lower success rates (r = -0.30, P = .049).
Shorter nasal bones and lower kyphion angles are associated with better outcomes in dorsal preservation rhinoplasty. Tailoring surgical techniques to individual anatomical features can improve both aesthetic and functional results, enhancing patient satisfaction.
隆鼻术是一种常见的美容和功能性手术，旨在改善鼻部美观和气道功能。保留鼻背隆鼻术（DPR）因其能够保留鼻子的自然解剖结构并将并发症降至最低而越来越受到青睐。本研究旨在通过分析影响手术结果的解剖学参数来确定DPR的理想候选人。
本研究的目的是通过术前放射学测量来确定患者是否适合进行保留鼻背手术。
在一家三级医院的耳鼻喉科进行了一项前瞻性观察性研究，纳入43例行高条保留鼻背隆鼻术的患者。进行术前和术中CT扫描以评估鼻腔解剖结构，重点关注鼻骨长度、鼻根至鼻尖距离和驼峰角等特征。采用总体手术成功（OSS）评分来衡量结果，通过从10分的基础评分中减去并发症、再次手术和住院次数来计算。
该队列包括43例患者（6例男性，37例女性），平均年龄26.4岁。术中数据显示，55.8%的患者需要磨平驼峰，27.9%的患者在6个月时仍有残留驼峰。发现鼻根至鼻骨尖距离越长，OSS评分越低，两者呈正相关（r = 0.31，P = 0.043）。鼻骨较短与较高的OSS评分相关（r = -0.45，P = 0.002），驼峰角越大与成功率越低相关（r = -0.30，P = 0.049）。
在保留鼻背隆鼻术中，较短的鼻骨和较低的驼峰角与更好的手术效果相关。根据个体解剖特征调整手术技术可以改善美学和功能效果，提高患者满意度。
