Autospreader Flaps in Closed Rhinoplasty: Our Technique and Long-Term Results.
| Autor: | Challita R; Plastic and Reconstructive Surgery, Grenoble Alpes University Hospital, Grenoble, FRA.; Plastic and Reconstructive Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN., Maassarani D; Plastic Surgery, Lebanese Hospital Geitaoui University Medical Center (UMC), Aschrafieh, LBN., Zeaiter N; Plastic and Reconstructive Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN., Sfeir J; Plastic and Reconstructive Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN., Aoun CB; Plastic and Maxillofacial Surgery Department, Al Zahraa University Medical Hospital, Beirut, LBN.; Plastic and Reconstructive Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN.; Plastic Surgery, Lebanese Hospital Geitaoui University Medical Center (UMC), Aschrafieh, LBN., Moukawam E; Plastic and Reconstructive Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN., Haddad NR; Internal Medicine, Lebanese University, Beirut, LBN., El Chbib D; Obstetrics and Gynecology, Faculty of Medicine, Lebanese University, Beirut, LBN., Ghanime G; Plastic and Reconstructive Surgery, Lebanese Hospital Geitaoui University Medical Center (UMC), Aschrafieh, LBN.; Plastic and Reconstructive Surgery, Lebannese University, Beirut, LBN., Sleiman Z; Plastic and Reconstructive Surgery, Faculty of Medicine, Lebanese University, Beirut, LBN. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Aug 08; Vol. 16 (8), pp. e66458. Date of Electronic Publication: 2024 Aug 08 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.66458 |
| Abstrakt: | Introduction: Rhinoplasty is a common and complex surgical procedure. Respiratory and aesthetic dissatisfaction are major causes of revision surgeries. Multiple techniques were described to reconstruct the middle nasal vault and improve functional outcomes. One of these techniques is the use of autospreader flaps. These flaps were constantly modified by different surgeons. In our practice, we use a modified technique of autospreader flaps in closed rhinoplasty. Neither upper lateral cartilage scoring nor suture fixation to the septum was done. Methods: We conducted a retrospective study on 183 patients, analyzing revision rates and long-term functional results using the NOSE scale. Data analysis was done using IBM Corp. Released 2019. IBM SPSS Statistics for Windows, Version 26.0. Armonk, NY: IBM Corp. Results: Long-term results showed satisfactory aesthetic outcomes with low revision rates (13.6%). Concerning the NOSE score, it was completed by 87 of the 183 patients, yielding a response rate of 47.5%. A mean NOSE score of 18.1 +/- 21.1 at 4.4 years of follow-up was obtained. Conclusion: Autospreader flaps offer simplicity, reproducibility, and effectiveness in closed rhinoplasty. It represents a valuable option for selected patients, especially in populations with high dorsal reduction surgery demand. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Ethical committee of Lebanese Hospital Geaitaoui issued approval 2021-IRB-001. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Challita et al.) |
| Databáze: | MEDLINE |
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