Hypertelorisum with nasal deformities corrected by growing rib/costochondral grafts in early stage: a follow-up study
10.3760/cma.j.issn.1671-0290.2020.03.008
- VernacularTitle:可生长肋骨/肋软骨复合体移植矫正眶距增宽症的鼻畸形效果
- Author:
Huichuan DUAN
1
;
Jiarui HUANG
;
Dong LI
;
Liang XU
;
Zheyuan YU
;
Jie YUAN
;
Min WEI
Author Information
1. 上海交通大学医学院附属第九人民医院整复外科 200011
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2020;26(3):197-200
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To measure the changes in the orbital and nasal parameters before and after Tessier box osteotomy with primary aesthetic rhinoplasty concurrently with byotogenous costochondral graft.Methods:From 2013 to 2018, 60 hypertelorism patients were treated in our craniofacial center. Correction involved a classic Tessier box osteotomy combined with aesthetic augmentation and reconstruction of the nasal dorsum using a costochondral graft. All patients underwent photographic and tomographic documentation both before and 12 months after surgery. Patients underwent morphometric analysis to document the changes in interorbital distance (IOD) and aesthetic nasal parameters, including the nasal dorsum and alar width, the nasal dorsal height, and the index of nasal apex protrusion versus nasal length.Results:All patients were satisfied with the outcome of the combined orbital and nasal repair. Morphometric analysis indicated that the IOD and aesthetic nasal parameters all improved following surgery. The resorption rate of the costochondral graft was 16-19%, and graft warpage was nearly absent. Although complications so as infection, cerebrospinal fluid leak or hyposomia, no severe or life-threatening complications occurred.Conclusions:Tessier box osteotomy with primary aesthetic rhinoplasty using costochondral grafts has showed to be efficacious in the treatment of patients with hypertelorism.
