PDF(Pubmed)
Abstract：
Rhinoplasty is a frequently performed aesthetic surgery with a high procedural volume. Despite the operational ease and safety profile of biocompatible materials such as silicone and inflatable prosthetics, postoperative complications like surgical site infections can lead to significant clinical challenges. These complications necessitate effective therapeutic and reconstructive interventions. This study aims to evaluate the efficacy of different flap transplantation techniques for early treatment of post-rhinoplasty nasal tissue deficiencies. A retrospective study was conducted from May 2018 to May 2023, involving 38 patients divided into a control group receiving standard anti-infective treatment and an observation group undergoing early flap grafting procedures. Efficacy was evaluated using objective metrics-namely, nasal appearance, function and flap condition-each assessed through a 10-point scoring system, and subjective metrics such as patient satisfaction gauged through self-administered questionnaires. Statistical analyses were performed using SPSS version 27.0. Both groups were statistically comparable in terms of demographics such as age, marital status and educational background. The observation group displayed significantly improved outcomes in terms of nasal aesthetics (mean score 7.92 ± 1.00), nasal function (mean score 8.47 ± 0.51) and flap condition (mean score 7.89 ± 1.12) compared to the control group. Flap transplantation techniques demonstrated superior therapeutic and reconstructive efficacy in the management of nasal tissue deficiencies arising from post-rhinoplasty surgical infections. These findings contribute to evidence-based recommendations for optimal clinical practice.
摘要：
鼻成形术是一种经常进行的手术量大的美容手术。尽管硅胶和可充气假肢等生物相容性材料具有操作简易性和安全性，手术部位感染等术后并发症可能导致重大的临床挑战.这些并发症需要有效的治疗和重建干预。本研究旨在评价不同皮瓣移植技术早期治疗隆鼻术后鼻组织缺损的疗效。回顾性研究于2018年5月至2023年5月进行，将38例患者分为接受标准抗感染治疗的对照组和接受早期皮瓣移植术的观察组。使用客观指标评估疗效-即，鼻部外观,功能和襟翼状况-每个都通过10分评分系统评估，以及通过自我管理问卷衡量患者满意度等主观指标。使用SPSS版本27.0进行统计分析。两组在人口统计学方面具有统计学可比性，例如年龄，婚姻状况和教育背景。观察组在鼻部美学方面表现出显著改善(平均评分7.92±1.00),与对照组相比，鼻功能（平均评分8.47±0.51）和皮瓣状况（平均评分7.89±1.12）。皮瓣移植技术在治疗鼻整形手术后感染引起的鼻组织缺陷方面表现出优异的治疗和重建功效。这些发现有助于为最佳临床实践提供循证建议。
