Outcome of rhinoplasty in patients undergoing autospreader flaps without notable dorsal hump reduction: A clinical trial
| Autor: | Amin Amali, Nargess Razmara, Ali Razfar, Amir A. Sazgar, Amir K Sazgar |
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| Rok vydání: | 2018 |
| Předmět: |
Dorsum
Adult Male medicine.medical_specialty Esthetics medicine.medical_treatment 030230 surgery Iran Risk Assessment Surgical Flaps Objective assessment Rhinoplasty 03 medical and health sciences 0302 clinical medicine Nasal Cartilages Medicine Humans In patient Prospective Studies 030223 otorhinolaryngology Nose Reduction (orthopedic surgery) Nasal Septum business.industry Background reconstruction Recovery of Function Middle Aged Surgery Clinical trial medicine.anatomical_structure Treatment Outcome Female Nasal Cavity Nasal Obstruction business Follow-Up Studies |
| Zdroj: | Journal of plastic, reconstructiveaesthetic surgery : JPRAS. 72(10) |
| ISSN: | 1878-0539 |
| Popis: | Summary Background Reconstruction of the nasal midvault is an important component of successful rhinoplasty outcomes. Use of the autospreader flap is a beneficial technique for preserving the middle vault. In the present study, we evaluated the esthetic and functional outcomes of this technique in patients without notable dorsal hump reduction. Methodology A nonrandomized clinical trial was performed from December 2017 to April 2018 with a minimum follow-up time of 6 months. From among patients seeking rhinoplasty, 38 were eligible for inclusion in the study. The autospreader flap was used to recreate the middle vault in patients undergoing open rhinoplasty, with up to 2 mm bony and cartilaginous dorsal hump removal. Preoperative and postoperative standard photographs were obtained. Assessment of patients was based on Rhinoplasty Outcome Evaluation (ROE) and Nasal Obstruction Symptom Evaluation Scale (NOSE) scores. Objective assessment included quantitative analysis of anthropometric angles, mean dorsal width, nasal length, and projection which was performed on standard pre- and postoperative photos. Results Overall, the patients had statistically significant improvement in their postoperative NOSE scores (9 vs. 6.92, p = 0.0001). The majority of patients were satisfied with the postoperative appearance of their noses. The mean nasal dorsal width (NDW) decreased postoperatively (43% vs. 36%). No difference was found between the mean height of the nose and projection pre- and postoperatively. There was a significant postoperative increase in the nasolabial angle and reduction in nasal length. Conclusions The autospreader flap is an effective technique for preservation and restoration of the middle vault and dorsal esthetic line in cases of less than 2 mm dorsal hump reduction. Nasal function can be improved while achieving good cosmetic outcomes |
| Databáze: | OpenAIRE |
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