Background: Reconstruction of Nasal Tip Columella (NTC) subunits is one of the most challenging aspects in functional aesthetic rhinoplasty. Moreover, racial variation for Asian nose rhinoplasty could even demand soph...Background: Reconstruction of Nasal Tip Columella (NTC) subunits is one of the most challenging aspects in functional aesthetic rhinoplasty. Moreover, racial variation for Asian nose rhinoplasty could even demand sophistication of tip and columella strut graft infrastructure enhancement. Various autogenous graft options such as 6th costal cartilage, septal cartilage and conchal cartilage are very commonly considered whilst the 10th costal cartilage is scarcely reported. Objective and Method: The purpose of this manuscript is to illustrate the detailed operative steps to harvest the 10th costal cartilage for infrastructural grafting at NTC subunits by a case illustration. The pros and cons of different cartilage options will be discussed, particularly its application in cleft nose rhinoplasty in Chinese patient. We have adopted the 10th rib as the key option for NTC reconstruction in 11 cases of Chinese cleft secondary rhinoplasty since 2019 and have achieved good and stable results without complications. Conclusion: The 10th costal cartilage is one of the best options in Nasal Tip Columella subunits reconstruction, particularly in complex cleft nose or failure revision aesthetic rhinoplasty cases, due to its safety of harvesting, and the sufficient quality and quantity of grafting materials it provides for simultaneous adjunctive augmentation purpose.展开更多
Objective: to explore the plastic effect and clinical application of nasal tip plastic surgery. Methods: a total of 78 patients were selected in this study, who underwent nasal tip plastic surgery in our hospital from...Objective: to explore the plastic effect and clinical application of nasal tip plastic surgery. Methods: a total of 78 patients were selected in this study, who underwent nasal tip plastic surgery in our hospital from January 2021 to January 2022. They were randomly assigned into two groups according to the odd-even series method. The experimental group and the conventional group were treated with artificial dermis and silica gel nasal augmentation, respectively, to compare the surgical effects. Results: 97.44% of the patients in the experimental group had effective nasal tip plastic surgery, while only 84.62% of the patients in the conventional group had effective nasal tip plastic surgery, which was statistically significant (P < 0.05). After plastic surgery, the nasal tip protrusion, nasal length and nasal tip height in the experimental group were significantly higher than those in the conventional group, and the statistical significance was established (P < 0.05). In the experimental group, 5.13% of the patients had complications after nasal tip plastic surgery, the total incidence rate was lower than 20.51% in the conventional group, and the statistical significance was established (P < 0.05). 97.44% of the patients in the experimental group were satisfied with the nasal tip plastic surgery, while only 82.05% of the patients in the conventional group were satisfied, which was statistically significant (P < 0.05). Conclusion: in the process of nasal tip plastic surgery, the overall application effect of artificial dermis is better than that of silica gel nasal augmentation, which is more worthy of promotion and application in clinic.展开更多
Objective To evaluate the effect of anlogenous septal cartilage in repair of nasal tip and columella. Methods Nasal septal cartilage was transplanted between medial angles of greater alar cartilage at the nasal colume...Objective To evaluate the effect of anlogenous septal cartilage in repair of nasal tip and columella. Methods Nasal septal cartilage was transplanted between medial angles of greater alar cartilage at the nasal columella as a support,and a scutellate cartilage was transplanted to the nasal tip. Results All 108 cases were followed up for 1 ～ 2 years,they were satisfied with展开更多
Neurogenic tumor is the name given to any tumor that arises from the nerve tissue or its coverings. Neurogenic tumors of Sino-nasal cavity are a very rare entity. The most common types are Schwannomas and Neurofibroma...Neurogenic tumor is the name given to any tumor that arises from the nerve tissue or its coverings. Neurogenic tumors of Sino-nasal cavity are a very rare entity. The most common types are Schwannomas and Neurofibromas and the plexiform subtype is one form of these neuroendocrine tumors. We report the case series of two such cases of a plexiform neurofibroma of the nasal tip, which were excised via an open rhinoplasty approach.展开更多
Aim:The correction of nasal tip defects presents many challenges.Zitelli’s bilobed flap has been widely used for such repairing defects,but may be complicated by interrupted scars on the nasal dorsum.Our study evalua...Aim:The correction of nasal tip defects presents many challenges.Zitelli’s bilobed flap has been widely used for such repairing defects,but may be complicated by interrupted scars on the nasal dorsum.Our study evaluates the design principles,results,and advantages of a modified bilobed flap for repairing nasal tip defects.Methods:The primary lobe was located between the defect and the cheek,and the second lobe was located in the cheek.The width of the primary lobe was equal to that of the primary defect.The length of the primary lobe was 10%longer than the distance of the distal defect edge to the pivot point of the flap.The length of the second lobe was 30%longer than the distance of the distal defect edge to the pivot point of the flap.The width of the second lobe was 90-100%of that of the primary lobe.The ability to close the defect under minimal tension,the cosmetic appearance,and any complications were evaluated.Results:This technique was performed in 34 cases;defect size ranged from 0.8 cm×0.9 cm to 1.2 cm×1.8 cm.All defects were closed under minimal wound tension,all scars were inconspicuous,no obvious complications occurred,and the aesthetic outcomes were considered favorable.Conclusion:The modified bilobed flap can provide satisfying outcomes with lower morbidity and inconspicuous scarring.It is simple and suitable for repairing small-to medium-sized defects in the nasal tip.展开更多
目的探讨面动脉鼻唇沟穿支皮瓣与额部滑车上动脉皮瓣在鼻尖缺损整形中的疗效比较。方法回顾性分析自2024年1月至2025年5月,中国人民解放军海军第九七一医院耳鼻喉科收治43例鼻尖缺损患者的临床资料,根据手术方法分为观察组(23例)和对照...目的探讨面动脉鼻唇沟穿支皮瓣与额部滑车上动脉皮瓣在鼻尖缺损整形中的疗效比较。方法回顾性分析自2024年1月至2025年5月,中国人民解放军海军第九七一医院耳鼻喉科收治43例鼻尖缺损患者的临床资料,根据手术方法分为观察组(23例)和对照组(20例),观察组给予面动脉鼻唇沟穿支皮瓣修复,对照组采用额部滑车上动脉皮瓣修复,观察两组患者手术相关指标、鼻部轮廓参数、瘢痕严重程度及满意率差异。结果观察组和对照组在手术时间、术中出血量和术后引流量比较,差异无统计学意义(P>0.05);观察组和对照组术后6个月鼻额角、鼻面角、鼻尖凸度和鼻唇角比较,差异无统计学意义(P>0.05);观察组瘢痕评估量表(patient and observers scar assessment,POSAS)评分中瘢痕面积、厚度、柔软度、色素沉着和总分分别为3(1~5)分、2(1~4)分、2(0~3)分、4(2~6)分和15(8~23)分,明显低于对照组(P<0.05);观察组患者满意度优于对照组(P<0.05)。结论相较于额部滑车上动脉皮瓣,面动脉鼻唇沟穿支皮瓣在鼻尖缺损整形中具有瘢痕程度较轻,患者满意度较高的优点。展开更多
文摘Background: Reconstruction of Nasal Tip Columella (NTC) subunits is one of the most challenging aspects in functional aesthetic rhinoplasty. Moreover, racial variation for Asian nose rhinoplasty could even demand sophistication of tip and columella strut graft infrastructure enhancement. Various autogenous graft options such as 6th costal cartilage, septal cartilage and conchal cartilage are very commonly considered whilst the 10th costal cartilage is scarcely reported. Objective and Method: The purpose of this manuscript is to illustrate the detailed operative steps to harvest the 10th costal cartilage for infrastructural grafting at NTC subunits by a case illustration. The pros and cons of different cartilage options will be discussed, particularly its application in cleft nose rhinoplasty in Chinese patient. We have adopted the 10th rib as the key option for NTC reconstruction in 11 cases of Chinese cleft secondary rhinoplasty since 2019 and have achieved good and stable results without complications. Conclusion: The 10th costal cartilage is one of the best options in Nasal Tip Columella subunits reconstruction, particularly in complex cleft nose or failure revision aesthetic rhinoplasty cases, due to its safety of harvesting, and the sufficient quality and quantity of grafting materials it provides for simultaneous adjunctive augmentation purpose.
文摘Objective: to explore the plastic effect and clinical application of nasal tip plastic surgery. Methods: a total of 78 patients were selected in this study, who underwent nasal tip plastic surgery in our hospital from January 2021 to January 2022. They were randomly assigned into two groups according to the odd-even series method. The experimental group and the conventional group were treated with artificial dermis and silica gel nasal augmentation, respectively, to compare the surgical effects. Results: 97.44% of the patients in the experimental group had effective nasal tip plastic surgery, while only 84.62% of the patients in the conventional group had effective nasal tip plastic surgery, which was statistically significant (P < 0.05). After plastic surgery, the nasal tip protrusion, nasal length and nasal tip height in the experimental group were significantly higher than those in the conventional group, and the statistical significance was established (P < 0.05). In the experimental group, 5.13% of the patients had complications after nasal tip plastic surgery, the total incidence rate was lower than 20.51% in the conventional group, and the statistical significance was established (P < 0.05). 97.44% of the patients in the experimental group were satisfied with the nasal tip plastic surgery, while only 82.05% of the patients in the conventional group were satisfied, which was statistically significant (P < 0.05). Conclusion: in the process of nasal tip plastic surgery, the overall application effect of artificial dermis is better than that of silica gel nasal augmentation, which is more worthy of promotion and application in clinic.
文摘Objective To evaluate the effect of anlogenous septal cartilage in repair of nasal tip and columella. Methods Nasal septal cartilage was transplanted between medial angles of greater alar cartilage at the nasal columella as a support,and a scutellate cartilage was transplanted to the nasal tip. Results All 108 cases were followed up for 1 ～ 2 years,they were satisfied with
文摘Neurogenic tumor is the name given to any tumor that arises from the nerve tissue or its coverings. Neurogenic tumors of Sino-nasal cavity are a very rare entity. The most common types are Schwannomas and Neurofibromas and the plexiform subtype is one form of these neuroendocrine tumors. We report the case series of two such cases of a plexiform neurofibroma of the nasal tip, which were excised via an open rhinoplasty approach.
文摘Aim:The correction of nasal tip defects presents many challenges.Zitelli’s bilobed flap has been widely used for such repairing defects,but may be complicated by interrupted scars on the nasal dorsum.Our study evaluates the design principles,results,and advantages of a modified bilobed flap for repairing nasal tip defects.Methods:The primary lobe was located between the defect and the cheek,and the second lobe was located in the cheek.The width of the primary lobe was equal to that of the primary defect.The length of the primary lobe was 10%longer than the distance of the distal defect edge to the pivot point of the flap.The length of the second lobe was 30%longer than the distance of the distal defect edge to the pivot point of the flap.The width of the second lobe was 90-100%of that of the primary lobe.The ability to close the defect under minimal tension,the cosmetic appearance,and any complications were evaluated.Results:This technique was performed in 34 cases;defect size ranged from 0.8 cm×0.9 cm to 1.2 cm×1.8 cm.All defects were closed under minimal wound tension,all scars were inconspicuous,no obvious complications occurred,and the aesthetic outcomes were considered favorable.Conclusion:The modified bilobed flap can provide satisfying outcomes with lower morbidity and inconspicuous scarring.It is simple and suitable for repairing small-to medium-sized defects in the nasal tip.
文摘目的探讨面动脉鼻唇沟穿支皮瓣与额部滑车上动脉皮瓣在鼻尖缺损整形中的疗效比较。方法回顾性分析自2024年1月至2025年5月,中国人民解放军海军第九七一医院耳鼻喉科收治43例鼻尖缺损患者的临床资料,根据手术方法分为观察组(23例)和对照组(20例),观察组给予面动脉鼻唇沟穿支皮瓣修复,对照组采用额部滑车上动脉皮瓣修复,观察两组患者手术相关指标、鼻部轮廓参数、瘢痕严重程度及满意率差异。结果观察组和对照组在手术时间、术中出血量和术后引流量比较,差异无统计学意义(P>0.05);观察组和对照组术后6个月鼻额角、鼻面角、鼻尖凸度和鼻唇角比较,差异无统计学意义(P>0.05);观察组瘢痕评估量表(patient and observers scar assessment,POSAS)评分中瘢痕面积、厚度、柔软度、色素沉着和总分分别为3(1~5)分、2(1~4)分、2(0~3)分、4(2~6)分和15(8~23)分,明显低于对照组(P<0.05);观察组患者满意度优于对照组(P<0.05)。结论相较于额部滑车上动脉皮瓣,面动脉鼻唇沟穿支皮瓣在鼻尖缺损整形中具有瘢痕程度较轻,患者满意度较高的优点。
