Comparison of Supra-Alar Crease Deepening Following Septorhinoplasty in Two Techniques: Lateral Crura Steal Versus Lateral Crura Overlay.

Autor: Nasirmohtaram S; Department of Otolaryngology and Head and Neck Surgery, Otorhinolaryngology Research Center, Guilan University of Medical Sciences, Amiralmomenin Hospital, 17 Shahrivar Ave, Rasht, Guilan, 4139637459, Iran., Akbarpour M; Department of Otolaryngology and Head and Neck Surgery, Otorhinolaryngology Research Center, Guilan University of Medical Sciences, Amiralmomenin Hospital, 17 Shahrivar Ave, Rasht, Guilan, 4139637459, Iran. akbarpour_malihe@yahoo.com., Jalali MM; Department of Otolaryngology and Head and Neck Surgery, Otorhinolaryngology Research Center, Guilan University of Medical Sciences, Amiralmomenin Hospital, 17 Shahrivar Ave, Rasht, Guilan, 4139637459, Iran., Faghih Habibi A; Department of Otolaryngology and Head and Neck Surgery, Otorhinolaryngology Research Center, Guilan University of Medical Sciences, Amiralmomenin Hospital, 17 Shahrivar Ave, Rasht, Guilan, 4139637459, Iran., Azad F; Department of Otolaryngology and Head and Neck Surgery, Otorhinolaryngology Research Center, Guilan University of Medical Sciences, Amiralmomenin Hospital, 17 Shahrivar Ave, Rasht, Guilan, 4139637459, Iran.
Jazyk: angličtina
Zdroj: Aesthetic plastic surgery [Aesthetic Plast Surg] 2024 Nov 05. Date of Electronic Publication: 2024 Nov 05.
DOI: 10.1007/s00266-024-04469-1
Abstrakt: Background: Nasal tip correction is one of the most challenging parts of rhinoplasty. The objective of the study was to compare the prevalence of supra-alar crease deepening in lateral crura steal (LCS) and lateral crura overlay (LCO) techniques.
Methods: In this prospective study, eligible patients referred to a university hospital for septorhinoplasty during 2022 were included.
Results: The study was conducted on 200 patients in two groups (100 patients in each group), 162 were women and 38 men with a mean age of 31.12 ± 0.60 years. In the third month of follow-up, 36.5% of all studied patients had supra-alar crease deepening, of whom 13% were in the interrupt group and 23.5% were in the steal group (P = 0.002); however, only 4% in the LCO and 9% in the LCS group had aesthetic or breathing disorders (P = 0.25). Deepening of the alar crease was not significantly related to the skin thickness in the two techniques.
Conclusion: According to the results, both LCO and LCS techniques are effective in achieving successful outcomes, although the problematic supra-alar crease deepening is less common in the LCO group; therefore, it seems to be a more suitable option in cases where there is a greater need to tip rotation, although this finding was not statistically significant.
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Databáze: MEDLINE
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