Paranasal Augmentation Using Diced Costal Cartilage for Midface Concavity: A Retrospective Study of 68 Patients
Paranasal Augmentation Using Diced Costal Cartilage for Midface Concavity: A Retrospective Study of 68 Patients
复制标题
DOI：
10.1007/s00266-021-02593-w
复制
发表时间：
2021-09-28
影响因子：
2.4
通讯作者：
Fan, Fei
中科院分区：
文献类型：
--
作者：
Dong, Wenfang;Xu, Yihao;Fan, Fei
鼻旁提升术是治疗面中部肥大的有效方法。异体移植物（例如硅胶、多孔聚乙烯或膨胀聚四氟乙烯）和自体组织（例如肋软骨）均用于鼻旁隆鼻。这项研究的目的是评估使用切割肋软骨的面中部sliding.Methods的人口统计学数据和并发症进行了回顾性分析，连续患者进行了使用切割肋软骨的鼻旁隆鼻术的安全性和有效性。使用问卷调查患者满意度（即总体满意度、双侧颅底对称性、咬合改善和异物感）。患者的照片被用来评估美学效果（即整体满意度，双侧颅底对称性，和改善的degree）由第三方doctors.Results 68例患者（60名女性，平均年龄，27.1 +/- 8.2岁）。在平均6.5个月的随访中，13例（19.1%）患者发生肋软骨移位，2例（2.9%）患者发生部分吸收。75%的患者和98.5%的医生表示总体满意。据报告，20例（29.4%）患者出现双侧颅底不对称，13例（19.1%）患者的颅底无改善，13例（19.1%）患者出现异物感。虽然未报告双侧颅底不对称，但第三方医生报告了67例（98.5%）患者的颅底改善。单因素和多因素分析结果显示，面中部软骨缺损的改善与患者的总体满意度显著相关（p = 0.008和0.045），而双侧颅底对称性和异物感与患者的总体满意度无显著相关（p > 0.05）。患者满意度的改善可能与患者的总体满意度显著相关。
Background Paranasal augmentation was effective management for midface concavity. Both alloplastic graft (e.g. silicone, porous polyethylene, or expanded polytetrafluorethylene) and autologous tissue (e.g. costal cartilage) were used for paranasal augmentation. The study aims to evaluate the safety and efficacy of paranasal augmentation using diced costal cartilage for midface concavity.Methods A retrospective review of demographic data and complications was conducted for consecutive patients who underwent paranasal augmentation using diced costal cartilage. A questionnaire was used for investigating the patient's satisfaction (i.e. overall satisfaction, bilateral alar bases symmetry, improvement of concavity, and foreign body sensation). Patients' photographs were used to evaluate aesthetic outcomes (i.e. overall satisfaction, bilateral alar bases symmetry, and improvement of concavity) by third-party doctors.Results Sixty-eight patients (60 females; mean age, 27.1 +/- 8.2 years) were included. During a median follow-up of 6.5 months, costal cartilage migration occurred in 13 (19.1%) patients and partial resorption occurred in 2 (2.9%) patients. Seventy-five per cent of the patients and 98.5% of the doctors reported overall satisfaction. Bilateral alar bases asymmetry by 20 (29.4%) patients, no improvement of concavity by 13 (19.1%) patients, and foreign body sensation by 13 (19.1%) patients were reported. While bilateral alar bases asymmetry was not reported, improvement of concavity was reported in 67 (98.5%) patients by third-party doctors. On both univariate and multivariate analyses, improvement of concavity was significantly associated with patients' overall satisfaction (p = 0.008 and 0.045, respectively), while bilateral alar bases symmetry and foreign body sensation were not (all p > 0.05).Conclusions Paranasal augmentation using diced costal cartilage seems a safe and effective method for midface concavity. Improvement of concavity may be significantly associated with patients' overall satisfaction.