Volume 12, Issue 3 (2023)                   WJPS 2023, 12(3): 37-43 | Back to browse issues page


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Mozafari N, Motamed S, Ayatollahi S, Mozaffari A, Mozaffari M A. Introducing a New Technique for Correcting Nasal Soft Tissue Triangle Deformity Using a Modified Fine Graft (Cartilage Graft) and Evaluating Its Effect on Deformity Correction: A Prospective Study. WJPS 2023; 12 (3) :37-43
URL: http://wjps.ir/article-1-1181-en.html
1- Department of Plastic and Reconstructive Surgery, 15 Khordad Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3- Corewell Health East, Deaborn, Michigan, USA.
Abstract:   (960 Views)
Background: The management of deformities of the nasal soft triangle (ST) is a difficult and very sensitive discussion in rhinoplasty. So far, the standard method for correcting these deformities has yet to be introduced. We aimed to introduce a new technique using modified fine graft (MMG) for correcting nasal ST triangle deformity and evaluate the effects of using this method.
Methods: This prospective study was conducted on 20 rhinoplasty candidates who underwent surgery at 15 Khordad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran between August 2021 to the February 2022 with the new technique of using an MMG to correct nasal ST triangle deformities. Follow-up was performed immediately after surgery, 3 and 6 months after surgery. Post-operative findings included ST deformity correction, graft exposure, graft visibility, recurrence rate, and the need for revision were evaluated by photography for all patients.
Results: The mean age of patients was 33.65± 11.047 years, 85% of the cases were female and 90% of surgeries were primal rhinoplasties. The ST triangle deformity was not corrected in 2 cases (10%). Both patients were women with primary rhinoplasty, and cartilage was removed from the septum in both. Graft exposure, recurrence, and visibility were not reported in any cases.
Conclusion: MFG was highly effective in correcting the deformity of the nasal ST triangle and did not cause serious complications in patients. This method is a suitable method with high efficiency for correcting nasal ST triangle deformity.
 
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Type of Study: Original Article | Subject: Special
ePublished: 2023/12/30

References
1. Sturm-O'Brien AK, Brissett AE, Brissett AE. Ethnic trends in facial plastic surgery. Facial Plas Surg 2010;26(02):069-74. [DOI:10.1055/s-0030-1253496]
2. Sarwer DB, Magee L. Physical Appearance and Society: Lippincott Williams & Wilkins Publishers; 2006.
3. Iamphongsai S, Eshraghi Y, Totonchi A, Midler J, Abdul-Karim FW, Guyuron B. Effect of different suture materials on cartilage reshaping. Aesthetic Surg J 2009;29(2):93-7. [DOI:10.1016/j.asj.2009.01.016]
4. Cagici CA, Cakmak O, Bal N, Yavuz H, Tuncer I. Effects of different suture materials on cartilage reshaping. Arch Facial Plast Surg 2008;10(2):124-9. [DOI:10.1001/archfaci.10.2.124]
5. Sazgar AA, Majlesi A, Shooshtari S, Sadeghi M, Sazgar AK, Amali A. Oral isotretinoin in the treatment of postoperative edema in thick-skinned rhinoplasty: A randomized placebo-controlled clinical trial. Aesthetic Plast Surg 2019;43(1):189-95. [DOI:10.1007/s00266-018-1252-5]
6. Heidekrueger PI, Juran S, Patel A, Tanna N, Broer PN. Plastic surgery statistics in the US: evidence and implications. Aesthetic Plast Surg 2016;40(2):293-300. [DOI:10.1007/s00266-016-0611-3]
7. Heidekrueger P, Broer PN, Ninkovic M. ISAPS plastic surgery statistics-a closer look. Europ J Plast Surg 2016;39(1):81-2. [DOI:10.1007/s00238-015-1118-x]
8. Bagheri SC. Primary cosmetic rhinoplasty. Oral Maxillofac Surg Clin North Am 2012;24(1):39-48. [DOI:10.1016/j.coms.2011.10.001]
9. Bagheri SC, Khan HA, Jahangirnia A, Rad SS, Mortazavi H. An analysis of 101 primary cosmetic rhinoplasties. J Oral Maxillofac Surg2012;70(4):902-9. [DOI:10.1016/j.joms.2011.02.075]
10. Rohrich RJ, Ahmad J. Rhinoplasty. Plast Reconstr Surg 2011;128(2):49e-73e. [DOI:10.1097/PRS.0b013e31821e7191]
11. Dibelius G, Hohman MH. Rhinoplasty Tip-shaping Surgery. StatPearls [Internet]: StatPearls Publishing; 2022.
12. Neaman KC, Boettcher AK, Do VH, et al. Cosmetic rhinoplasty: revision rates revisited. Aesthetic Surg J 2013;33(1):31-7. [DOI:10.1177/1090820X12469221]
13. Constantian MB. What motivates secondary rhinoplasty? A study of 150 consecutive patients. Plast Reconstr Surg 2012;130(3):667-78. [DOI:10.1097/PRS.0b013e31825dc301]
14. Spataro E, Piccirillo JF, Kallogjeri D, Branham GH, Desai SC. Revision rates and risk factors of 175 842 patients undergoing septorhinoplasty. JAMA Facial Plast Surg.2016;18(3):212-9. [DOI:10.1001/jamafacial.2015.2194]
15. Nguyen D, Motley R, Cooper M. Repair of nasal soft triangle notching. J Plast Reconstr Aesthet Surg2008;61(8):966-8. [DOI:10.1016/j.bjps.2007.11.079]
16. Foda HM. Nasal soft-tissue triangle deformities. Facial Plast Surg 2016;32(04):339-44. [DOI:10.1055/s-0036-1585424]
17. Foda HM. Rhinoplasty for the multiply revised nose. Am J Otolaryngol 2005;26(1):28-34. [DOI:10.1016/j.amjoto.2004.06.014]
18. Cohn JE, Shokri T, Othman S, Sokoya M, Ducic Y. Surgical techniques to improve the soft tissue triangle in rhinoplasty: a systematic review. Facial Plast Surg 2020;36(01):120-8. [DOI:10.1055/s-0040-1701520]
19. Kayabasoglu G, Nacar A. The soft triangle: an often neglected area in rhinoplasty. Aesthetic Plast Surg 2015;39(5):659-66. [DOI:10.1007/s00266-015-0525-5]
20. Yazar SK, Yazar M. Ellipsoid modification of extended soft triangle graft for the treatment of alar retraction and soft triangle deficiency. Turkish Journal of Plastic Surgery 2019;27(3):104. [DOI:10.4103/tjps.tjps_88_18]

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