Paranasal augmentation using autologous costal cartilage as an adjunct to rhinoplasty
10.3760/cma.j.issn.1671-0290.2023.01.008
- VernacularTitle:自体肋软骨块状联合颗粒状填充矫正鼻旁区凹陷的效果
- Author:
Jize YANG
1
;
Hanli YUAN
;
Zhihua HUANG
;
Yaozhong ZHAO
;
Hua JIANG
;
Antang LIU
Author Information
1. 上海交通大学附属第一人民医院整形外科，上海 200080
- Keywords:
Nose;
Surgery, plastic;
Paranasal augmentation;
Autologous costal cartilage;
Midface concavity
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(1):29-32
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the postoperative effect of paranasal concavity augment by block united with diced autologous costal cartilage.Methods:The data of 76 patients who were underwent costal cartilage rhinoplasty together with paranasal augmentation from January 2016 to December 2019 were analyzed retrospectively. The surgical technique was described in detail. Medical charts and operative records were reviewed to summary the complications. Patients′subjective satisfaction of the postoperative nasal appearance was self-evaluated with grading (1 worse, 2 no change, 3 improved, and 4 much improved). Cosmetic effects were evaluated by the measurements of the nasolabial angle and the distance between ACJ and intertragic notch preoperatively and postoperatively.Results:The postoperative follow-up duration was 6 to 34 months. Overall, functional and aesthetic outcome was satisfactory in most patients, and the mean score by the patients′self-evaluation was 3.4±0.5. Graft exposure, mobility, or significant resorption, pneumothorax or significant donor-site pain were not observed. The average nasolabial angle was changed from (78.2±13.2)° preoperatively to (89.8±10.2)° 6 months postoperative at the last follow-up ( t=152.00, P<0.01). And the distance from the alar-cheek junction to the left tragus was increased by 3.8±2.1 (2.2-6.1) mm. Conclusions:Costal cartilage rhinoplasty combined with augmentation of parasal area can improve parasal depression, with stable postoperative effect and fewer postoperative complications, and has a good effect for patients with normal occlusal relationship or mild abnormality.
