背景:美国整形外科委员会(ABPS)自2003年以来就从会员外科医生那里收集了有关整容手术的数据。这些数据提供了有关国家临床实践趋势的宝贵信息。
目的:本研究旨在分析过去十年隆鼻的发展趋势。
方法:比较了2012-2016年(早期队列“EC”)和2017-2021年(最近队列“RC”)两个队列的示踪剂数据。数据包括患者人口统计学和手术技术。在整形外科文献中当前基于EBM的指导下考虑了结果。
结果:分析了来自730例鼻成形术(270EC和460RC)的数据。中位年龄为30岁,最常见的患者关注的是鼻背(79%)。在RC组中,更少的患者表达了对尖端突出的担忧(58%vs43%,p=0.0002)和更多抱怨功能性气道问题(38%vs49%,p=0.004)。开放的方法是最常见的(83%)。中隔成形术(47%vs52%,p=0.005),尾隔重新定位(14%vs23%,p=0.002),和尖端旋转动作(32%对49%,p<0.0001)变得更受欢迎。涂布器移植物的使用也有所增加(35%对45%,p=0.01)和小柱支柱移植物(42%vs50%,p=0.04),虽然鼻翼基底切除术有所减少(17%vs10%,p=0.007)和非软骨背/基数增加(9%对4%,p=0.02)。
结论:ABPS示踪剂数据为整形外科手术的客观评估提供了极好的资源。本研究是第一个强调过去10年隆鼻发展趋势的研究。
方法:本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述,请参阅目录或在线作者说明www。springer.com/00266.
BACKGROUND: The American Board of Plastic Surgery (ABPS) has collected data on cosmetic surgery from member surgeons since 2003. These data offer valuable information on national trends in clinical practice.
OBJECTIVE: The present study was performed to analyze trends in rhinoplasty over the last decade.
METHODS: Tracer data were compared between two cohorts 2012-2016 (early cohort \"EC\") and 2017-2021 (recent cohort \"RC\"). Data included patient demographics and surgical techniques. Results were considered in the context of current EBM-based guidance in the plastic surgery literature.
RESULTS: Data from 730 rhinoplasties (270 EC and 460 RC) were analyzed. The median age was 30 years, and the most common patient concern was the nasal dorsum (79%). In the RC group, fewer patients voiced concerns about tip projection (58% vs 43%, p = 0.0002) and more complained of functional airway problems (38% vs 49%, p = 0.004). An open approach was most common (83%). Septoplasty (47% vs 52%, p = 0.005), caudal septum repositioning (14% vs 23%, p = 0.002), and tip rotation maneuvers (32% vs 49%, p < 0.0001) became more popular. There was also an increase in the use of spreader grafts (35% vs 45%, p = 0.01) and columellar strut grafts (42% vs 50%, p = 0.04), while there has been a decrease in alar base resection (17% vs 10%, p = 0.007) and non-cartilaginous dorsum/radix augmentation (9% vs 4%, p = 0.02).
CONCLUSIONS: ABPS tracer data provide an excellent resource for the objective assessment of procedures in plastic surgery. The present study is the first to highlight evolving trends in rhinoplasty over the last 10 years.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .