Columella Reconstruction Using the Philtral Flap in Patients with Columellar Deformity in Revision Rhinoplasty.
Abstract
[BACKGROUND] Columellar defects, resulting from trauma or surgery, pose both functional and aesthetic challenges. This study evaluates the functional and aesthetic outcomes of columellar reconstruction using the philtral flap method in a case series of fourteen patients with columellar defects, focusing on respiratory and aesthetic outcomes.
[METHODS] Participants: Fourteen patients with columellar defects.
[PROCEDURE] Costal cartilage was harvested, and a philtral flap was designed with an open approach. Septal and nasal floor mucosae were elevated bilaterally, and a vertical incision was made on the philtrum. A full-thickness flap, including orbicularis oris muscle, was mobilized, and the nasal framework reconstructed with rib cartilage.
[EVALUATIONS] The SCHNOS questionnaire assessed functional outcomes, while photographic analysis evaluated aesthetic changes. Data were analyzed using SPSS version 24.
[RESULTS] Functional Outcome: Significant improvement in the respiratory index (p < .001). Aesthetic Outcome: Significant improvement in the nasal aesthetic index (p < 0.001). Photographic Analysis: Significant changes in philtral and columellar lengths, show, and Goode's ratio.
[CONCLUSION] The philtral flap method provides promising functional and aesthetic outcomes, with further studies needed to confirm these findings.
[LEVEL OF EVIDENCE IV] 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 .
[METHODS] Participants: Fourteen patients with columellar defects.
[PROCEDURE] Costal cartilage was harvested, and a philtral flap was designed with an open approach. Septal and nasal floor mucosae were elevated bilaterally, and a vertical incision was made on the philtrum. A full-thickness flap, including orbicularis oris muscle, was mobilized, and the nasal framework reconstructed with rib cartilage.
[EVALUATIONS] The SCHNOS questionnaire assessed functional outcomes, while photographic analysis evaluated aesthetic changes. Data were analyzed using SPSS version 24.
[RESULTS] Functional Outcome: Significant improvement in the respiratory index (p < .001). Aesthetic Outcome: Significant improvement in the nasal aesthetic index (p < 0.001). Photographic Analysis: Significant changes in philtral and columellar lengths, show, and Goode's ratio.
[CONCLUSION] The philtral flap method provides promising functional and aesthetic outcomes, with further studies needed to confirm these findings.
[LEVEL OF EVIDENCE IV] 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 .
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | flap
|
피판재건술 | dict | 5 | |
| 시술 | rhinoplasty
|
코성형술 | dict | 1 | |
| 해부 | columellar
|
scispacy | 1 | ||
| 해부 | cartilage
|
scispacy | 1 | ||
| 해부 | orbicularis oris muscle
|
scispacy | 1 | ||
| 해부 | philtral
|
scispacy | 1 | ||
| 합병증 | philtral flap
|
scispacy | 1 | ||
| 합병증 | full-thickness flap
|
scispacy | 1 | ||
| 합병증 | nasal framework
|
scispacy | 1 | ||
| 합병증 | nasal aesthetic
|
scispacy | 1 | ||
| 재료 | costal cartilage
|
늑연골 | dict | 1 | |
| 재료 | rib cartilage
|
늑연골 | dict | 1 | |
| 약물 | [BACKGROUND] Columellar
|
scispacy | 1 | ||
| 약물 | [PROCEDURE] Costal
|
scispacy | 1 | ||
| 기법 | open approach
|
개방형 접근법 | dict | 1 | |
| 질환 | Columellar defects
|
scispacy | 1 | ||
| 질환 | trauma
|
C0043251
Wounds and Injuries
|
scispacy | 1 | |
| 기타 | Patients
|
scispacy | 1 | ||
| 기타 | Columellar
|
scispacy | 1 | ||
| 기타 | philtral flap
|
scispacy | 1 | ||
| 기타 | nasal floor mucosae
|
scispacy | 1 |
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