Archives of otolaryngology--head & neck surgery · 2009
Revision rhinoplasty of Asian noses: analysis and treatment.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Park Chan Hum, Kim Il Woo, Hong Seok Min, Lee Jun Ho
Аннотация
OBJECTIVE: To analyze postrhinoplastic deformities in Asian noses and the differences between noses of white and Asian patients. For a successful revision rhinoplasty, one of the most difficult and unpredictable procedures in plastic surgery, an accurate diagnosis and analysis of error are needed.
DESIGN: A retrospective study of 84 revision rhinoplasties performed by the senior author (C.H.P.) from January 2001 through December 2006.
SETTING: Tertiary care rhinology clinic.
PATIENTS: The study population comprised 84 patients (28 men and 56 women), with a mean age of 36 years (range, 20-58 years).
MAIN OUTCOME MEASURES: The postrhinoplastic deformities were divided anatomically into the upper, middle, and lower thirds of the nose with further subdivision of the deformities within each group.
RESULTS: In the 84 patients studied, the mean number of rhinoplasties per patient was 2.3. Of the 84 patients, 75 (89%) underwent revision rhinoplasty for upper-third deformities. Overall, deviated dorsum was the most common deformity, followed by irregular dorsum and asymmetric tip. Most of the upper-third deformities were treated with a rasp, camouflage graft, and expanded polytetrafluoroethylene (Gore-Tex; W. L. Gore & Associates Inc, Flagstaff, Arizona) augmentation. To correct lower-third deformities, mostly tip problems, we used transdermal and interdermal sutures.
CONCLUSIONS: In Asian noses, unlike noses of white patients, the most common cause of revision rhinoplasty is upper-third deformities. As most upper-third deformities in Asian noses result from inadequate insertion or dislocation of the augmentation graft material, we must be careful in our selection of implants and augmentation.
DESIGN: A retrospective study of 84 revision rhinoplasties performed by the senior author (C.H.P.) from January 2001 through December 2006.
SETTING: Tertiary care rhinology clinic.
PATIENTS: The study population comprised 84 patients (28 men and 56 women), with a mean age of 36 years (range, 20-58 years).
MAIN OUTCOME MEASURES: The postrhinoplastic deformities were divided anatomically into the upper, middle, and lower thirds of the nose with further subdivision of the deformities within each group.
RESULTS: In the 84 patients studied, the mean number of rhinoplasties per patient was 2.3. Of the 84 patients, 75 (89%) underwent revision rhinoplasty for upper-third deformities. Overall, deviated dorsum was the most common deformity, followed by irregular dorsum and asymmetric tip. Most of the upper-third deformities were treated with a rasp, camouflage graft, and expanded polytetrafluoroethylene (Gore-Tex; W. L. Gore & Associates Inc, Flagstaff, Arizona) augmentation. To correct lower-third deformities, mostly tip problems, we used transdermal and interdermal sutures.
CONCLUSIONS: In Asian noses, unlike noses of white patients, the most common cause of revision rhinoplasty is upper-third deformities. As most upper-third deformities in Asian noses result from inadequate insertion or dislocation of the augmentation graft material, we must be careful in our selection of implants and augmentation.