Application of autologous ear cartilage combined with retroauricular fascia in primary rhinoplasty
10.3760/cma.j.issn.1671-0290.2024.03.006
- VernacularTitle:自体耳软骨联合耳后筋膜在初次鼻整形的应用效果
- Author:
Fei LONG
1
;
Zhifei LIU
;
Xiaojun WANG
Author Information
1. 中国医学科学院 北京协和医院整形美容外科，北京 100730
- Keywords:
Rhinoplasty;
Augmentation rhinoplasty;
Autologousear cartilage;
Retroauricular fascia
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2024;30(3):223-226
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application and clinical effect of autologous ear cartilage combined with retroauricular fascia in primary rhinoplasty.Methods:A retrospective analysis was conducted on 31 primary rhinoplasty patients admitted to our hospital from January 2019 to January 2022, including 1 male and 30 females; the age range was 17-43 years, with an average of 24.3 years. The patients were followed up for 6-24 months, with an average of 18 months. The changes of nasal length, nasal tip projection, nasal height and nasal dorsum height were compared before operation, 6 months and 12 months after operation respectively.Results:All the 31 patients underwent rhinoplasty using autologous ear cartilage and retroauricular fascia materials. Six months after surgery, the patient′s nasal length increased by (4.4±0.7) mm ( t=3.17, P=0.025), nasal tip projections increased by (4.6± 0.5) mm ( t=6.45, P=0.001), nasal height increased by (3.1±0.4) mm ( t=8.21, P=0.001), and nasal dorsum height increased by (2.6±0.5) mm ( t=5.79, P=0.015). 12 months after surgery, the patient′s nasal length increased by (4.3±0.6) mm ( t=2.99, P=0.030), nasal tip projections increased by (4.2±0.4) mm ( t=5.12, P=0.005), nasal height increased by (2.9±0.3) mm ( t=6.86, P=0.005), and nasal dorsum height increased by (2.2±0.4) mm ( t=4.14, P=0.020). There was no significant difference in the observation indicators at 6 and 12 months after surgery ( P>0.05). Conclusions:The application of autologous ear cartilage and retroauricular fascia in primary rhinoplasty has prominent cosmetic effect, beautiful and natural nasal shape, stable long-term effect and few complications, which is worthy of clinical promotion.
