Analysis Of Rhinoplasty For Nasorostral Hypertrophy

Objective: To investigate surgical technique in treating with nasorostral hypertrophy.Methods: From January 2008 to March 2011, 35 famale cases accepted operations. Their age ranged from 20 to 45 with a mean age of 32. The comprehensive rhinoplasty are based on the specific clinical manifestations, the use of the open incision which is butterfly shaped outside of the nose alar,nasal tip and columella ;or through closed incision in both of the narial rim.The comprehensive rhinoplasty is for mere nasorostral hypertrophy: Trimming of the triangle of soft tissues such as commective and fat tissue, then suture the medial crura and fornix; for the nasorostral hypertrophy with nostrils wide and hypertrophy : cut off appropriate part of the lateral alar cartilage then suture the medial crura and fornix ,at the same time cut the appropriate size basolateral bilateral alar wedge organizations; for the nasorostral hypertrophy with the low and flat dorsum and the nasal tip: implant the silicone gel prosthesis which is L shaped to correct the flat dorsum and with autologous auricular cartilage grafting to fill at the same time to prevent rupture of the nasal tip.Results: The postoperative treatment given to conventional anti-inflammatory swelling of 3-5 days, after 7-10 days remove the nose suture and 12-14 days remove the ear suture and the fixed package. The nasal dorsum fastened with paper tape for 1 week or shaped with thermoplastic sheet for 2-3 weeks. The follow up period was 3 months to 2 years. All the 35 patients with the nasorostral hypertrophy were corrected, the effect is satisfactory. Measuring the ICD after the operation that reduced about 0.2cm on average, and the nasal tip increased about 0.3cm.Through comparison of the photograph that preoperative and after operation, the result was assessed by three sides including doctor,patient and investigator. If all the three sides were satisfied with the result, the result was regarded as excellent, two sides satisfactory was good and one side fair. If all sides dissatisfied with the outcome or serious complications occurred, the result was regarded as bad. According to the above standard, among all 35 cases, 18 were excellent, 10 were good, 7 were fair and no bad case was found 2 years after operation.Conclusion: According to the Oriental features of the anatomy of the nasal tip hypertrophy, we put the principle of nasal tip sub-units into practice. According to aesthetic standards, first to deal with the various anatomical units, then do the comprehensive surgical procedures such as cutting, sewing and filling, to re-allocate the various parts of the sub-units to form a new equilibrium. Nasorostral hypertrophy be corrected , while the other deformities to be associated with restoration. so that the overall shape consistent with oriental aesthetic standards and achieve a satisfactory result; correction of the nasorostral hypertrophy used this combined surgical technique can achieve a desired effect.