Improving Tip Aesthetics Using Mastoid Fascia Tissue Graft in Rhinoplasty: A Reliable Alternative to Soft Cartilage Grafts

Paige Goote, Buğra Tugertimur, Shaishav Datta, Steven Hanna, Matthew Morris, David Mattos, R. Reish
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Abstract

Abstract Goals/Purpose Traditional rhinoplasty tip grafts often lead to visibility issues, prompting patients to seek revision surgery. The mastoid fascia tissue graft (MFTG) provides a natural-looking alternative with fewer complications. MFTG remains less visible through the skin, enhancing long-term aesthetic results. This eight-year study on 193 patients examines MFTG's effectiveness in nasal tip refinement, evaluating revision and infection rates. Methods/Technique A retrospective analysis of MFTG use for nasal tip refinement during open rhinoplasty in the senior author's practice was conducted from July 2014 to June 2022. Inclusion criteria encompassed open rhinoplasty cases using mastoid tissue for tip refinement with at least 12 months of follow-up. Among 2003 cases, 193 met these criteria and were evaluated for subsequent revision and infection rates. Results/Complications The average patient age was 34.2 years (175 females, 18 males). Primary rhinoplasties were done on 114 patients, with 79 receiving revision surgeries. Average follow-up was 14.8 months. 6 patients (3.1%) needed extended antibiotics. Overall, 6 (3.1%) patients required revision rhinoplasty, comprising of 2 (1.8%) primary and 4 (5.1%) secondary rhinoplasty patients. These revisions were unrelated to the use of MFTG for nasal tip refinement. Conclusion MFTG use for nasal tip refinement is associated with low revision rates for both primary and secondary rhinoplasty compared to rates in current literature, without increase in complications or prolonged operative durations. MFTG for nasal tip refinement is a safe and convenient technique delivering excellent aesthetic outcomes with minimal morbidity.
在鼻整形术中使用乳突筋膜组织移植物改善鼻尖美感:软骨移植的可靠替代品
摘要 目标/目的 传统的鼻整形术中,鼻尖移植往往会导致可见度问题,促使患者寻求翻修手术。乳突筋膜组织移植(MFTG)提供了一种自然美观、并发症较少的替代方法。乳突筋膜组织移植在皮肤中的可见度较低,从而提高了长期的美学效果。本研究对 193 名患者进行了为期八年的研究,考察了 MFTG 在鼻尖整形中的效果,评估了翻修率和感染率。方法/技术 从 2014 年 7 月到 2022 年 6 月,作者对开放式鼻整形术中使用 MFTG 进行鼻尖修整的情况进行了回顾性分析。纳入标准包括使用乳突组织进行鼻尖修整且随访至少 12 个月的开放式鼻整形病例。在 2003 例病例中,有 193 例符合上述标准,并对后续的翻修率和感染率进行了评估。结果/并发症 患者平均年龄为 34.2 岁(175 名女性,18 名男性)。114 名患者进行了初次鼻整形手术,其中 79 人接受了翻修手术。平均随访时间为 14.8 个月。6名患者(3.1%)需要延长抗生素治疗时间。总共有 6 名患者(3.1%)需要进行鼻整形翻修手术,其中包括 2 名初次鼻整形患者(1.8%)和 4 名二次鼻整形患者(5.1%)。这些翻修与使用 MFTG 修整鼻尖无关。结论 与目前的文献相比,使用 MFTG 进行鼻尖精细化与初级和次级鼻整形术的低翻修率有关,且不会增加并发症或延长手术时间。MFTG 用于鼻尖精细化是一种安全、便捷的技术,可带来极佳的美学效果,且发病率极低。
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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