Effect of the depressor septi nasi muscle modification on nasal tip rotation and projection.
2/5 보강
PICO 자동 추출 (휴리스틱, conf 3/4)
유사 논문P · Population 대상 환자/모집단
40 patients underwent rhinoplasty including cutting and repositioning of the depressor septi nasi muscle and another group of 40 patients (control) underwent rhinoplasty without manipulation of the depressor septi nasi muscle.
I · Intervention 중재 / 시술
rhinoplasty without manipulation of the depressor septi nasi muscle
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
[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 .
【연구 목적】 비강tip은 안면 미용에서 중요한 요소이나 성형수술 시 가장 어려운 부분 중 하나이다.
- p-value P = 0.089
APA
Toutounchi JS, Biroon SH, et al. (2015). Effect of the depressor septi nasi muscle modification on nasal tip rotation and projection.. Aesthetic plastic surgery, 39(3), 294-9. https://doi.org/10.1007/s00266-015-0469-9
MLA
Toutounchi JS, et al.. "Effect of the depressor septi nasi muscle modification on nasal tip rotation and projection.." Aesthetic plastic surgery, vol. 39, no. 3, 2015, pp. 294-9.
PMID
25795376 ↗
Abstract 한글 요약
[BACKGROUND] The nasal tip is an important esthetic feature of the face and surgery on it is the most challenging part of a rhinoplasty. In the present study, we evaluated the effects of modification of the depressor septi nasi muscle on nasal tip rotation and projection.
[METHODS] Eighty primary rhinoplasty patients who required nasal tip modifications were enrolled in a randomized clinical trial from October 2008 to March 2012. A study group composed of 40 patients underwent rhinoplasty including cutting and repositioning of the depressor septi nasi muscle and another group of 40 patients (control) underwent rhinoplasty without manipulation of the depressor septi nasi muscle. Nasal tip rotation and projection, and patient satisfaction were evaluated before and 6 months after the operation.
[RESULTS] Following rhinoplasty including cutting of the depressor septi nasi muscle, nasal tip rotation and projection, and patient satisfaction were improved in 70, 57.5, and 85 % of the patients, respectively; and in the control group, they were improved in 82.5, 55, and 67.5 %, respectively (P = 0.089, 0.607, and 0.069).
[CONCLUSION] Cutting and repositioning of the depressor septi nasi muscle as an adjunct to rhinoplasty is not associated with any additional advantage in terms of nasal tip rotation and projection, or patient satisfaction.
[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] Eighty primary rhinoplasty patients who required nasal tip modifications were enrolled in a randomized clinical trial from October 2008 to March 2012. A study group composed of 40 patients underwent rhinoplasty including cutting and repositioning of the depressor septi nasi muscle and another group of 40 patients (control) underwent rhinoplasty without manipulation of the depressor septi nasi muscle. Nasal tip rotation and projection, and patient satisfaction were evaluated before and 6 months after the operation.
[RESULTS] Following rhinoplasty including cutting of the depressor septi nasi muscle, nasal tip rotation and projection, and patient satisfaction were improved in 70, 57.5, and 85 % of the patients, respectively; and in the control group, they were improved in 82.5, 55, and 67.5 %, respectively (P = 0.089, 0.607, and 0.069).
[CONCLUSION] Cutting and repositioning of the depressor septi nasi muscle as an adjunct to rhinoplasty is not associated with any additional advantage in terms of nasal tip rotation and projection, or patient satisfaction.
[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 .
【연구 목적】
비강tip은 안면 미용에서 중요한 요소이나 성형수술 시 가장 어려운 부분 중 하나이다. 본 연구는 비강중격하강근(depressor septi nasi muscle)의 절제 및 재위치술이 코tip의 회전각과 돌출도에 미치는 영향을 평가하여 수술적 이점을 규명하는 것을 목적으로 한다.
【방법】
2008년 10월부터 2012년 3월까지 코tip 수정이 필요한 초기 코성형술(rhinoplasty) 환자 80명을 무작위 임상시험(randomized clinical trial)에 배정하였다. 연구군 40명은 비강중격하강근의 절제 및 재위치술을 포함한 코성형술을, 대조군 40명은 해당 근육 조작 없이 코성형술을 시행받았다. 수술 전과 6개월 후 코tip의 회전각, 돌출도, 환자 만족도를 평가하였다.
【주요 결과】
비강중격하강근 절제술을 시행한 군에서 코tip 회전각, 돌출도, 환자 만족도의 개선 비율은 각각 70%, 57.5%, 85%로 나타났다. 반면 대조군에서는 각각 82.5%, 55%, 67.5%로 개선되었으며, 두 군 간 통계적 유의차는 확인되지 않았다(P값: 회전각 0.089, 돌출도 0.607, 만족도 0.069).
【임상적 시사점 (성형외과 의사 관점)】
코성형술(rhinoplasty) 시 비강중격하강근(depressor septi nasi muscle)을 의도적으로 절제하거나 재위치시키는 것이 코tip의 회전각이나 돌출도 개선, 그리고 환자 만족도 측면에서 추가적인 임상적 이점을 제공하지 않는다는 점이 입증되었다. 따라서 성형외과 의사는 코tip 성형술 시 불필요한 연부조직 절제나 근육 조작으로 인한 수술 시간 증가나 출혈 위험을 감수할 필요성이 낮음을 인지해야 한다. 오히려 불필요한 조직 손상을 최소화하여 수술 후 부종(swelling)과 흉터 형성을 줄이는 방향으로 수술 계획을 수립하는 것이 더 유리할 수 있다. 환자 상담 시 코tip의 위치 조절을 위해 복잡한 근육 조작보다는 연골 성형술(cartilage grafting)이나 봉합술(suture technique) 등 다른 기법의 효과를 설명하는 것이 타당하다. 이 연구 결과는 코성형술의 표준 술식에서 비강중격하강근 조작을 선택적 또는 필수적으로 고려할 필요성을 낮추어, 수술의 단순화와 합병증 예방에 기여할 수 있다.
추출된 의학 개체 (NER)
전체 NER 표 보기
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | nasal tip
|
코끝 | dict | 7 | |
| 시술 | rhinoplasty
|
코성형술 | dict | 6 | |
| 해부 | muscle
|
scispacy | 1 | ||
| 약물 | [BACKGROUND] The
|
scispacy | 1 | ||
| 질환 | septi nasi muscle
|
scispacy | 1 | ||
| 기타 | depressor septi
|
scispacy | 1 |
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