Simple procedure to drill nasal spine for rib-based rhinoplasty
10.3760/cma.j.cn114453-20210420-00176
- VernacularTitle:简易鼻棘钻孔技术在自体肋软骨鼻整形术中的应用
- Author:
Jianjun YOU
1
;
Lehao WU
;
Huan WANG
;
Yihao XU
;
Ruobing ZHENG
;
Xulong ZHANG
;
Le TIAN
;
Junsheng GUO
;
Fei FAN
Author Information
1. 中国医学科学院北京协和医学院整形外科医院鼻整形与再造中心 100144
- Keywords:
Rhinoplasty;
Costal cartilage;
Nasal spine
- From:
Chinese Journal of Plastic Surgery
2021;37(6):672-676
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the validity of a simple technique of drilling nasal spine in costal cartilage based rhinoplasty.Methods:From August 2018 to October 2020, the clinical data of patients whom received costal cartilage rhinoplasty in Plastic Surgery Hospital of Chinese Academy of Medical Sciences were retrospectively analyzed. During the operation, the towel clamp was slid into the space of the nasal spine, with minor adjustments of its position, slowly and steadily, the towel clamps were tightened until the bilateral tips were met, and the perforation procedure was successful. Then, based on this aperture, the columellar strut was firmly fixed to the nasal spine, and the cartilage framework was established. Postoperative follow-up was conducted to investigate the satisfaction of the patients, as well as a third-party plastic surgeon was introduced to evaluate the pre-and post-operative photos of the patients by the observer’s overall cosmetic improvement score (IGAIS).Results:A total of 35 female patients with the age of (27.7±2.3) years (22-37 years old) were included. All patients presented low tip and dorsum, with flat, flaring alae. There were no significant short-term complications such as infection, mucosal perforation and graft exposure. The patients were followed up for 6 to 24 months. Two cases presented cartilage warping, and was corrected after revision surgery. The appearance of the nose was significantly improved, and the subjective satisfaction was 97.1% (34/35). The third-party physician evaluation results were: in 35 cases, 33 cases achieved significant improvement, 2 cases achieved moderate improvement, 100% (35/35) of the patients reached the improvement, and the improvement score was 1.08±0.28.Conclusions:The drilling technique of utilizing a towel forcep is simple and practical which facilitates stable fixation of nasal columellar support graft, and renders a good outcome in the clinical application of autologous costal cartilage rhinoplasty.
