1. A Novel Method to Enhance Dynamic Rhinoplasty Outcomes: Double 'V' Carving for Alloplastic Grafts
- Author
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Shan Shan Bai, Liang Xu, Jie Yuan, Hui Chuan Duan, Dong Li, and Min Wei
- Subjects
Adult ,medicine.medical_specialty ,China ,Adolescent ,medicine.medical_treatment ,Silicones ,030230 surgery ,Nose ,Prosthesis Design ,Prosthesis ,Rhinoplasty ,Augmentation rhinoplasty ,Prosthesis Implantation ,03 medical and health sciences ,chemistry.chemical_compound ,Young Adult ,0302 clinical medicine ,Silicone ,Asian People ,Medicine ,Humans ,In patient ,030223 otorhinolaryngology ,Polytetrafluoroethylene ,Carving ,business.industry ,Allografts ,Surgery ,Plastic surgery ,medicine.anatomical_structure ,Treatment Outcome ,Otorhinolaryngology ,chemistry ,Female ,business - Abstract
Augmentation rhinoplasty is one of the most common plastic surgery procedures performed in Asia. Most Asian patients desire not only a natural-looking nose but also a nose with natural feel. Achieving such rhinoplasty outcomes with grafts has been a challenge for surgeons due to rigidity of grafting material. We propose a novel technique to address this limitation. A total of 200 healthy adult patients aged from 18 to 25 years were randomly chosen and classified into 5 groups: A, B, C, D, and control. Each group included 40 patients. The patients assigned to conventional grafting underwent rhinoplasty with L-shaped silicone prosthesis (group A) or expanded polytetrafluoroethylene (e-PTFE; group B), using traditional carving methods. The patients assigned to dynamic rhinoplasty underwent silicone (group C) or e-PTFE grafts (group D) using the modified double “V” method, which involves removing bilateral wedges from the graft to decrease rigidity. Patients in control group do not undergo the surgery. A 3-dimensional raster surface scanner was used to capture the images of the patients accurately and nasal mobility was measured. Subjective evaluations were carried out by a series of questionnaires asked to the patients. The angle α of nasal mobility was significantly lower in conventional grafting (23.09 [5.34] mm for silicone and 17.88 [4.96] mm for e-PTFE) versus the “V” carving (30.53 [3.76] mm for silicone and 23.77 [4.53] mm for e-PTFE; P < .05). The double “V” carving method is a simple, effective, and practical method for improving dynamic nasal outcomes in patient undergoing augmentation rhinoplasty.
- Published
- 2019