Grafts Are Superior to Sutures for Nasal Tip Projection: A Meta‐analysis of Goodes Ratio

Autor:	Eric Cole, Angelia S. Natili
Rok vydání:	2014
Předmět:	medicine.medical_specialty business.industry Outcome measurements medicine.medical_treatment Nasal tip Surgical planning Rhinoplasty Surgery Cosmetic rhinoplasty Otorhinolaryngology Suture (anatomy) medicine business Projection (set theory)
Zdroj:	Otolaryngology–Head and Neck Surgery. 151
ISSN:	1097-6817 0194-5998
DOI:	10.1177/0194599814541627a15
Popis:	Objectives:(1) Discuss relevant tip projection ratios involved in surgical planning of rhinoplasty. (2) Implement findings of meta-analysis in cosmetic surgery planning.Methods:Meta-analysis of journal articles through June 2013. Intervention: Cosmetic rhinoplasty for underprojected tip. Outcome Measurements: Pre- and postoperative Goode Ratio in cosmetic rhinoplasty patients. Null hypothesis: None of 3 techniques provides superior tip projection among: suture, internal graft, and external graft.Results:External graft techniques, such as Sheen shield grafting, were found to significantly increase tip projection over suture only techniques. External vs suture: P = .017. (2) Internal graft techniques, such as columellar strut grafting, approached significance in increased tip projection over suture only technique. Internal vs suture: P = .053. (3) Internal and external graft techniques did not differ significantly, but external graft techniques displayed a tendency to increase tip projection more. External ...
Databáze:	OpenAIRE
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