Low Strip Unifying Hybrid Rhinoseptoplasty: A Novel Classification in Dorsal Preservation Surgery.

IF 3.2 2区医学 Q1 SURGERY

Plastic and reconstructive surgery Pub Date : 2024-11-01 Epub Date: 2024-01-23 DOI:10.1097/PRS.0000000000011307

Salvatore Taglialatela Scafati, Mario Rasulo, Abdülkadir Göksel

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引用次数: 0

Abstract

Background: Preservation rhinoplasty techniques continue to evolve. Suture tip-plasty with minimal resection and grafting, lateral crural tensioning, minimal excision from the lateral crura, dorsal preservation, subperichondrial dissection, and preservation of the ligaments have become the milestones of modern rhinosurgery. However, every time the dorsal frame is modified by means of rasping, shaving, or osteotomy, or the nasal tip is structured using grafts, surgeons are essentially applying structural concepts to their technique. The term "hybrid rhinoplasty" seems to include a more appropriate definition of this approach.

Methods: The authors performed a retrospective analysis of the medical records of patients who underwent primary septorhinoplasty using the low strip unifying hybrid rhinoseptoplasty concept from December of 2019 to June of 2022. Patient functional satisfaction and cosmetic satisfaction were evaluated using the Rhinoplasty Health Inventory and Nose Outcome scale.

Results: All reported procedures had low revision rates with good cosmetic and functional outcomes.

Conclusions: Tailoring the surgical technique is essential in rhinoplasty. The authors present a new technical paradigm to help surgeons choose the best approach for dorsal preservation surgery.

Clinical question/level of evidence: Therapeutic, IV.

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低带统一混合犀牛肽成形术（LUHRS）：保背手术中的一种新分类。

背景：保留鼻整形技术不断发展。缝合鼻尖成形术、最小化切除和移植、外侧嵴张力、最小化外侧嵴切除、鼻背保留、软骨下剥离和韧带保留已成为现代鼻整形手术的里程碑。然而，每当通过磨削、刮削或截骨术改变鼻背框架，或使用移植物构建鼻尖结构时，我们基本上都是在将结构概念应用到我们的技术中。因此，"混合鼻整形术 "一词似乎更适合定义我们的方法：我们对 2019 年 12 月至 2022 年 6 月期间使用 LUHRS 概念进行初级鼻中隔成形术的患者病历进行了回顾性分析。使用鼻整形健康量表和鼻整形结果（RHINO）对患者的功能和外观满意度进行了评估：结果：所有报告的手术均具有较低的翻修率和良好的外观与功能效果：结论：量身定制的手术技术在鼻整形术中至关重要。我们开发并提出了一种新的技术范例，帮助外科医生选择最佳的鼻背保留手术方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic and reconstructive surgery 医学-外科

CiteScore

5.00

自引率

13.90%

发文量

1436

审稿时长

1.5 months

期刊介绍： For more than 70 years Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. Plastic and Reconstructive Surgery® , the official journal of the American Society of Plastic Surgeons, is a benefit of Society membership, and is also available on a subscription basis. Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, cosmetic surgery, as well as news on medicolegal issues. The cosmetic section provides expanded coverage on new procedures and techniques and offers more cosmetic-specific content than any other journal. All subscribers enjoy full access to the Journal''s website, which features broadcast quality videos of reconstructive and cosmetic procedures, podcasts, comprehensive article archives dating to 1946, and additional benefits offered by the newly-redesigned website.