Closed Preservation Rhinoplasty in the Mestizo Patient: Challenges and Techniques for Nasal Tip Support.

IF 3 2区 医学 Q1 SURGERY
Cesar Valdivia, Paul D Durand, Baris Cakir
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引用次数: 0

Abstract

Background: Closed preservation rhinoplasty continues to grow in popularity. Nevertheless, many surgeons remain wary of doing closed preservation rhinoplasty in certain patient populations. Mestizo noses have a thick soft-tissue envelope and weak nasal tip support. These inherent characteristics have led many surgeons to favor open structural techniques when addressing the tip in the Mestizo patient.

Objectives: The present article describes a set of techniques that have been successfully employed by the authors for maximizing tip support and definition when doing closed preservation rhinoplasty in a patient population for which structural techniques were once thought as the only viable option.

Methods: A total of 417 primary rhinoplasty cases were studied retrospectively between January 2022 and December 2023. All the cases were performed using a closed approach and dorsal preservation of the soft-tissue envelope. All patients underwent one of the four types of surgical techniques for the tip area (Type I - 105 patients, Type II - 124, Type III - 181, and Type IV - 7).

Results: Of the total patients, 331 (79.3%) were female and 86 (20.6%) were male. Patient age varied from 15 to 66, with a median age of 23. Patients were followed for a period of six months to a year postoperatively. Seven patients underwent revision surgery (1.7%).

Conclusions: Even with its various potential benefits, there is still apprehension about doing closed preservation rhinoplasty in certain patient populations. The authors present several techniques that have been successfully employed to maximize tip support and definition when performing closed preservation rhinoplasty in the Mestizo patient.

梅斯蒂索患者闭式保存鼻成形术:鼻尖支持的挑战和技术。
背景:闭式保存鼻整形术越来越受欢迎。尽管如此,许多外科医生仍然对某些患者群体进行闭式保存鼻成形术持谨慎态度。梅斯蒂索人的鼻子有较厚的软组织包膜和较弱的鼻尖支撑。这些固有的特征导致许多外科医生在处理梅斯蒂索患者的尖端时倾向于开放结构技术。目的:本文描述了一组成功的技术,作者在进行闭式保存鼻整形术时最大限度地提高鼻尖的支持和定义,而结构技术曾经被认为是唯一可行的选择。方法:回顾性分析2022年1月至2023年12月417例鼻部整形手术。所有病例均采用封闭入路并保留背侧软组织包膜。所有患者均接受了1 ~ 105型、2 ~ 124型、3 ~ 181型、4 ~ 7型四种术式中的一种。结果:女性331例(79.3%),男性86例(20.6%)。患者年龄从15岁到66岁不等,中位年龄23岁。术后随访6个月至1年。7例患者接受翻修手术(1.7%)。结论:即使有各种潜在的好处,在某些患者群体中仍然存在对闭合性保存鼻成形术的担忧。作者提出了几种技术,已成功地采用了最大限度的尖端支持和定义时,执行闭式保存鼻成形术在梅斯蒂索病人。
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
CiteScore
6.20
自引率
20.70%
发文量
309
审稿时长
6-12 weeks
期刊介绍: Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.
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