Use of Mastoid Periosteum Graft in Primary and Revision Rhinoplasty
| Autor: | Jong Sook Yi, Hong Ryul Jin |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Dorsum
Adult Male Reoperation medicine.medical_specialty Esthetics medicine.medical_treatment Treatment outcome 030230 surgery Risk Assessment Mastoid Statistics Nonparametric Rhinoplasty Cohort Studies 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Postoperative Complications Nasal Cartilages Periosteum Republic of Korea medicine Humans Major complication Nasal Septum Retrospective Studies Academic Medical Centers business.industry Graft Survival Suture Techniques Middle Aged Surgery Plastic surgery medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Female business Revision rhinoplasty Follow-Up Studies |
| Zdroj: | Aesthetic plastic surgery. 43(5) |
| ISSN: | 1432-5241 |
| Popis: | The authors initiated the use of a mastoid periosteum graft to augment or camouflage the dorsum and radix. This report describes the techniques and treatment outcomes of mastoid periosteum grafts in primary and revision rhinoplasty. Medical records of 62 patients who underwent rhinoplasty with mastoid periosteum were reviewed retrospectively. Of these, 21 patients who participated in follow-up for more than 6 months were analyzed through a comparison of pre- and postoperative photographs. Aesthetic results were scored on a scale of 0 to 4 (0 = poor, 1 = fair, 2 = moderate, 3 = good, 4 = excellent) with photographic evaluation by two independent surgeons. A mastoid periosteum graft was used in 32 primary and 30 revision cases. The graft was used to augment the radix (28 cases), dorsum (15 cases), and both radix and dorsum (19 cases). Cartilage underlay was combined with mastoid periosteum grafts in 38 patients (61.3%, 17 in radix graft, 8 in dorsal graft, and 13 in both). The aesthetic outcome score assessed in 21 patients was 2.8 on average (3.2 in primary and 2.4 in revision cases). Cartilage combined cases showed better aesthetic outcome than free graft cases (3.1 vs. 2.5, respectively). Three cases of partial graft resorption were found, but there were no major complications. Mastoid periosteum grafting is a safe and effective method to augment the radix or dorsum in primary and revision rhinoplasty. Long-term partial resorption cannot be completely excluded, which necessitates further study. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 . |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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