Application of Autologous Rib Cartilage Transplantation in Rhinoplasty
Objective To observe the effect of autologous rib cartilage transplantation on wound healing,complications and cosmetic effect of rhinoplasty.Methods The clinical data of 300 patients with rhinoplastic surgery admitted to the author's hospital from January 2018 to December 2022 were retrospectively analyzed.The patient data were complete,and the patients were divided into control group and observation group according to different treatment methods,with 150 cases in each group.In the control group,silicone or polytetrafluoroethylene swelling was used as nasal back filling during rhinoplastic surgery.In the observation group,autologous rib cartilage was used as nasal back filling during rhinoplasty.The surgical success rate,postoperative complication rate,wound healing time and hospital stay,preoperative and postoperative nasal tip prominence,nasal shape shaping effect(nasal tip,nasal tip fullness,nasal shape and nostril diameter)scores,satisfaction rate at discharge,3 months and 1 year after surgery were compared between the two groups.Results The operation success rate of observation group and control group was 100.00%,there was no statistical significance(P＞0.05).The postoperative complication rate of patients in observation group was lower than that in control group(P＜0.05).The wound healing time and hospitalization time of patients in observation group were shorter than those in control group(P＜0.05).There was no significant difference in nasal tip prominence among all groups before surgery(P＞0.05).After surgery,the nasal tip protrusion of all groups was improved,and the observation group was higher than the control group(P＜0.05).The scores of nasal shaping effect(nose tip,nose tip fullness,nose shape,nose diameter)in observation group were higher than those in control group(P＜0.05).The satisfaction rate of the observation group was higher than that of the control group at discharge,3 months and 1 year after surgery(P＜0.05).Conclusion Autologous costal cartilage transplantation has a good effect in rhinoplasty surgery,with a high success rate of surgery,a low rate of postoperative complications,rapid postoperative recovery of patients,good wound healing,and good plastic effect,which is more recognized by patients.
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