Measured Gain in Projection With the Extended Columellar Strut-Tip Graft in Endonasal Rhinoplasty
| Autor: | Norman Pastorek, Richard A. Zoumalan, Michael A. Carron |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Reoperation
medicine.medical_specialty business.industry medicine.medical_treatment Nose Rhinoplasty Nasal tip Preoperative care Surgery surgical procedures operative Nasal Cartilages Outcome Assessment Health Care Photography medicine Humans Female In patient Autografts business Projection (set theory) Follow-Up Studies Retrospective Studies |
| Zdroj: | JAMA Facial Plastic Surgery. 15:187-191 |
| ISSN: | 2168-6092 2168-6076 |
| DOI: | 10.1001/jamafacial.2013.718 |
| Popis: | The extended columellar strut-tip graft was designed to improve nasal tip projection and tip definition in patients undergoing rhinoplasty.To determine whether the extended columellar tip graft leads to a true and measurable increase in nasal tip projection or simply gives the illusion of an increase in projection.Retrospective case review. The mean time of follow-up photographs was 32 months after surgery (range, 8 months to 10 years).The study population comprised 15 patients who underwent primary or revision rhinoplasty during the last 10 years.Primary or revision rhinoplasty.The outcome measure was the long-term gain in nasal tip projection. Preoperative and postoperative images were cropped and sized equally for accurate comparison. All measurements were made from the alar-facial crease to the tip defining point.In all 15 patients, an increase in tip projection was obtained. The mean increase in projection was 19% compared with the preoperative projection. After applying a paired t test for analysis, there was a statistically significant increase in nasal projection (P.05).The extended columellar strut-tip graft effectively corrected poor nasal tip projection. The effect is maintained years later. The extended columellar strut-tip graft is an excellent choice in endonasal rhinoplasty to improve poor tip projection and definition.4. |
| Databáze: | OpenAIRE |
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