Thin Skin in Rhinoplasty: Considerations for Camouflaging Dorsal Nasal Irregularities.

Autor:	Daoud RM; Otolaryngology (ENT), King Salman Armed Forces Hospital in Nortwestren Region, Tabuk, SAU., Alelyani AA; Medicine, University of Tabuk, Tabuk, SAU., Bakhamees BH; Medicine, King Abdulaziz University, Jeddah, SAU., Almutairi RF; Medicine, University of Tabuk, Tabuk, SAU., AlSufyani N; Medicine and Surgery, Taif University, Taif, SAU., Ayoub AY; Medicine, Jazan University, Gizan, SAU., Alshehri AM; Medicine, King Khalid University, Abha, SAU., Alali HA; Medicine and Surgery, University of Tabuk, Tabuk, SAU., Basri BW; Hospital Medicine, Manchester Royal Infirmary, Manchester, GBR., Alhazmi RM; Otorhinolaryngology, Taibah University, AlMadinah AlMunawwarah, SAU., Aldoughan A; Medicine, King Faisal University, Al-Ahsa, SAU., Alghofaili J; Medicine, Qassim University, Buraydah, SAU., Alhayyan EM; Critical Care, Abqaiq General Hospital, Qatif, SAU., Awaji BH; Otolaryngology (ENT), King Fahad Specialist Hospital, Riyadh, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 10; Vol. 16 (8), pp. e66595. Date of Electronic Publication: 2024 Aug 10 (Print Publication: 2024).
DOI:	10.7759/cureus.66595
Abstrakt:	Thin skin presents a challenge for achieving optimal aesthetic outcomes and minimizing complications. The review analyzes various materials and techniques employed to achieve this goal. A comprehensive electronic search was conducted across various medical databases, retrieved 965 studies, from which 15 studies were eligible for inclusion in this review with a total number of 679 patients with thin nasal skin. Techniques that promote graft integration, minimize resorption, and provide a smooth dorsal contour are crucial for thin-skinned patients. Diced cartilage with PRP, fascia lata grafts, and laser-assisted rhinoplasty appear to be particularly effective based on the available evidence. Platelet-rich fibrin (PRF) appears to play a role in some techniques by enhancing healing and tissue regeneration. Natural materials, like fascia lata and ligamentous grafts, offer potential benefits but require further exploration. Fat grafting techniques show promise but necessitate more research. This review provides a comprehensive overview of various techniques for addressing dorsal irregularities in rhinoplasty for patients with thin skin. Surgeons can utilize this information to select the most appropriate approach for achieving optimal aesthetic outcomes while minimizing complications. Competing Interests: 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, Daoud et al.)
Databáze:	MEDLINE
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