Revision Rhinoplasty for Short Noses in the Asian Population.
2/5 보강
PICO 자동 추출 (휴리스틱, conf 3/4)
유사 논문P · Population 대상 환자/모집단
환자: postoperative short nose who underwent revision rhinoplasty in a tertiary care referral center in South Korea from October 1, 2006, through August 31, 2014
I · Intervention 중재 / 시술
revision rhinoplasty in a tertiary care referral center in South Korea from October 1, 2006, through August 31, 2014
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
[CONCLUSIONS AND RELEVANCE] Correction of postoperative short nose in Asian patients requires complicated surgery that usually involves more than one kind of surgical technique.
ℹ️ 이 논문은 무료 전문이 아직 없습니다. 코퍼스 전체의 44.0%는 무료 가능 (통계 →) · 🏥 기관 EZproxy로 시도
【연구 목적】 아시아인 환자에서 코성형술(rhinoplasty) 후 발생한 단축비(short nose)는 성형외과 의사에게 여전히 어려운 문제이므로, 이 연구의 목적은 아시아인 환자의 수정 코성형술(revision rhinoplasty) 결과를 규명하는 것이다.
- p-value P < .001
APA
Lan MY, Jang YJ (2015). Revision Rhinoplasty for Short Noses in the Asian Population.. JAMA facial plastic surgery, 17(5), 325-32. https://doi.org/10.1001/jamafacial.2015.0645
MLA
Lan MY, et al.. "Revision Rhinoplasty for Short Noses in the Asian Population.." JAMA facial plastic surgery, vol. 17, no. 5, 2015, pp. 325-32.
PMID
26111006 ↗
Abstract 한글 요약
[IMPORTANCE] Short nose, especially postoperative short nose in Asian patients, remains a challenging problem for plastic surgeons.
[OBJECTIVE] To determine the outcomes of revision rhinoplasty of postoperative short noses in Asian patients.
[DESIGN, SETTING, AND PARTICIPANTS] We performed a retrospective medical record review of 41 Asian patients with postoperative short nose who underwent revision rhinoplasty in a tertiary care referral center in South Korea from October 1, 2006, through August 31, 2014.
[MAIN OUTCOMES AND MEASURES] Patient demographic, surgical technique, graft use, anthropometric measurement, complication, and aesthetic outcome assessment data were retrieved.
[RESULTS] The 41 enrolled patients were a mean (SD) of 36.5 (12.6) years old. There were 16 men and 25 women. The most commonly used dorsal graft in the previous rhinoplasty was silicone, followed by fascia with or without cartilage. Various surgical techniques were applied, including septal reconstruction, cartilage flap technique, tip surgery, lateral compartment correction, and dorsal augmentation. Autologous costal cartilage was the most commonly used septal reconstruction material. Eleven patients (27%) developed postoperative complications, including infection, nostril asymmetry, and pollybeak deformity. Revision rhinoplasty yielded statistically significant improvements in nasal length (increase of 12.0%, P < .001), nasal tip projection (increase of 13.4%, P < .001), nasofrontal angle (decrease of 2.39°, P = .04), nasolabial angle (decrease of 7.62°, P < .001), and columella-lobular angle (increase of 3.25°, P < .001). More than 90% (37) of the patients were judged to have good or excellent aesthetic results.
[CONCLUSIONS AND RELEVANCE] Correction of postoperative short nose in Asian patients requires complicated surgery that usually involves more than one kind of surgical technique. Complications are not uncommon, and patients should be informed of this before surgery.
[LEVEL OF EVIDENCE] 4.
[OBJECTIVE] To determine the outcomes of revision rhinoplasty of postoperative short noses in Asian patients.
[DESIGN, SETTING, AND PARTICIPANTS] We performed a retrospective medical record review of 41 Asian patients with postoperative short nose who underwent revision rhinoplasty in a tertiary care referral center in South Korea from October 1, 2006, through August 31, 2014.
[MAIN OUTCOMES AND MEASURES] Patient demographic, surgical technique, graft use, anthropometric measurement, complication, and aesthetic outcome assessment data were retrieved.
[RESULTS] The 41 enrolled patients were a mean (SD) of 36.5 (12.6) years old. There were 16 men and 25 women. The most commonly used dorsal graft in the previous rhinoplasty was silicone, followed by fascia with or without cartilage. Various surgical techniques were applied, including septal reconstruction, cartilage flap technique, tip surgery, lateral compartment correction, and dorsal augmentation. Autologous costal cartilage was the most commonly used septal reconstruction material. Eleven patients (27%) developed postoperative complications, including infection, nostril asymmetry, and pollybeak deformity. Revision rhinoplasty yielded statistically significant improvements in nasal length (increase of 12.0%, P < .001), nasal tip projection (increase of 13.4%, P < .001), nasofrontal angle (decrease of 2.39°, P = .04), nasolabial angle (decrease of 7.62°, P < .001), and columella-lobular angle (increase of 3.25°, P < .001). More than 90% (37) of the patients were judged to have good or excellent aesthetic results.
[CONCLUSIONS AND RELEVANCE] Correction of postoperative short nose in Asian patients requires complicated surgery that usually involves more than one kind of surgical technique. Complications are not uncommon, and patients should be informed of this before surgery.
[LEVEL OF EVIDENCE] 4.
【연구 목적】
아시아인 환자에서 코성형술(rhinoplasty) 후 발생한 단축비(short nose)는 성형외과 의사에게 여전히 어려운 문제이므로, 이 연구의 목적은 아시아인 환자의 수정 코성형술(revision rhinoplasty) 결과를 규명하는 것이다.
【방법】
2006년 10월부터 2014년 8월까지 한국의 tertiary care referral center에서 수정 코성형술을 받은 단축비 아시아인 환자 41명을 대상으로 후향적 의료 기록 검토를 수행했다. 환자 인구통계학적 데이터, 수술 기법, 이식재 사용, 인두측정학적(anthropometric) 측정, 합병증 및 미적 결과 평가 데이터를 수집하여 분석했다.
【주요 결과】
평균 36.5세인 41명 중 11명(27%)이 감염, 콧구멍 비대칭, 폴리비크 변형(pollybeek deformity) 등의 합병증을 경험했다. 수정 수술 후 코 길이(12.0% 증가), 코끝 돌출도(13.4% 증가), 비전두각(nasofrontal angle) 감소, 비입각(nasolabial angle) 감소, 코끝-연골각(columella-lobular angle) 증가 등 모든 인두측정학적 지표에서 통계적으로 유의미한 개선이 관찰되었다. 환자의 90% 이상(37명)이 양호하거나 우수한 미적 결과를 보였다.
【임상적 시사점 (성형외과 의사 관점)】
아시아인 환자의 단축비 교정은 단일 기법보다 복수의 수술 기법(중격 재구성, 연골 플랩, 코끝 수술, 측실실 교정, 등대 성형 등)을 조합한 복잡한 수술이 필요하므로 술 전 계획이 중요하다. 자가 갈비연골(autologous costal cartilage)이 중격 재구성에 가장 흔히 사용되므로, 충분한 연골 확보와 이식재의 생체역학적 안정성을 고려해야 한다. 27%에 달하는 비교적 높은 합병증 발생률(감염, 비대칭, 변형 등)을 인지하고, 환자 상담 시 수술의 복잡성과 잠재적 위험에 대해 명확히 설명해야 한다. 수술적 접근 시 코 길이와 코끝 돌출도의 정량적 개선을 목표로 하되, 비전두각과 비입각의 각도 변화가 자연스러운 안면 비율 회복에 어떻게 기여하는지 평가하는 것이 중요하다. 다학제적 협진이 필요한 경우, 전신 상태 평가 측면에서 장기적인 수술과 회복 과정이 환자의 전반적인 건강에 미치는 영향을 함께 고려해야 한다.
추출된 의학 개체 (NER)
재료
늑연골
전체 NER 표 보기
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | rhinoplasty
|
코성형술 | dict | 5 | |
| 시술 | flap
|
피판재건술 | dict | 1 | |
| 해부 | tip
|
코끝 | dict | 1 | |
| 해부 | nasal tip
|
코끝 | dict | 1 | |
| 해부 | nostril
|
콧방울 | dict | 1 | |
| 해부 | nose
|
scispacy | 1 | ||
| 해부 | graft
|
scispacy | 1 | ||
| 해부 | fascia
|
scispacy | 1 | ||
| 해부 | cartilage
|
scispacy | 1 | ||
| 해부 | costal cartilage
|
scispacy | 1 | ||
| 해부 | pollybeak
|
scispacy | 1 | ||
| 해부 | nasal
|
scispacy | 1 | ||
| 해부 | nasofrontal
|
scispacy | 1 | ||
| 해부 | columella-lobular
|
scispacy | 1 | ||
| 합병증 | infection
|
감염 | dict | 1 | |
| 합병증 | asymmetry
|
비대칭 | dict | 1 | |
| 합병증 | nasolabial
|
scispacy | 1 | ||
| 재료 | autologous costal cartilage
|
늑연골 | dict | 1 | |
| 약물 | silicone
|
C0037114
silicones
|
scispacy | 1 | |
| 약물 | [DESIGN
|
scispacy | 1 | ||
| 약물 | [MAIN OUTCOMES AND
|
scispacy | 1 | ||
| 약물 | [CONCLUSIONS AND
|
scispacy | 1 | ||
| 기타 | men
|
scispacy | 1 | ||
| 기타 | women
|
scispacy | 1 | ||
| 기타 | dorsal graft
|
scispacy | 1 | ||
| 기타 | lateral compartment
|
scispacy | 1 | ||
| 기타 | dorsal
|
scispacy | 1 |
🏷️ 키워드 / MeSH 📖 같은 키워드 OA만
인용 관계
그래프 OA 노드: 0/1 (0%)
· 참조 0편 · 후속 0편
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