SEPTORİNOPLASTİ YAPILAN HASTALARDA SPREADER GREFT KONULMASININ AMELİYATIN FONKSİYONEL VE ESTETİK SONUÇLARI ÜZERİNE ETKİSİ

Year 2023, , 64 - 69, 30.04.2023

Süheyla Kandemir , Ahmet Erim Pamuk

https://doi.org/10.24938/kutfd.1215009

Abstract

Amaç: Spreader greft konularak ve konulmadan septorinoplasti ameliyatı yapılan hastalarda, ameliyatın fonksiyonel ve estetik sonuçlarının karşılaştırılması amaçlanmıştır.

Gereç ve Yöntemler: Çalışmada, 2018-2022 tarihleri arasında septorinoplasti ameliyatı yapılan 52 hasta retrospektif olarak incelendi. Hastalar spreader greft konulanlar (Grup 1, n=30) ve spreader greft konulmayanlar (Grup 2, n=22) olmak üzere iki gruba ayrıldı. Hastaların fonksiyonel ve estetik sonuçları ameliyat öncesi ve ameliyat sonrası burun tıkanıklığı semptom değerlendirme ölçeği (NOSE), sinonazal sonuç testi-22 (SNOT-22) ve yüz görünümünden memnuniyet (FACE-Q) ölçeği ile değerlendirildi.

Bulgular: Gruplar arasında yaş ve cinsiyet açısından anlamlı bir farklılık saptanmadı. Her iki grupta da ameliyat sonrası NOSE ve SNOT-22 skorları, ameliyat öncesi skorlara kıyasla, anlamlı düzeyde düşük idi (p<0.05). FACE-Q skoru ise ameliyat sonrası skorları ameliyat öncesi skorlara göre anlamlı derecede yüksek idi (p<0.05). Gruplar birbirleri ile karşılaştırıldığında, postoperatif NOSE ve SNOT-22 skorları spreader konulmayan grubun (grup 2) daha yüksekti. Postoperatif FACE-Q skoru ise spreader konulan grubun (grup 1) daha yüksekti.

Sonuç: Çalışmamızda, spreader greft konularak yapılan septorinoplasti ameliyatının hasta bazlı anket çalışmaları ile değerlendirildiğinde fonksiyonel ve estetik sonuçlarının spreader greft konulmadan yapılan ameliyata göre daha iyi olduğu sonucuna varıldı.

Keywords

Burun, rinoplasti, spreader greft

Supporting Institution

Yok

Project Number

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Thanks

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The Effect of Spreader Graft Placement on the Functional and Aesthetic Results of the Surgery in Patients Undergoing Septorhinoplasty

Abstract

Objective: It is aimed to compare the functional and aesthetic results of the surgery in patients who underwent septorhinoplasty with and without a spreader graft.

Material and Methods: In the study, 52 patients who underwent septorhinoplasty between 2018 and 2022 were retrospectively analyzed. The patients were divided into two groups: those with spreader grafts (Group 1, n=30) and those without spreader grafts (Group 2, n=22). The functional and aesthetic results of the patients were evaluated with the nasal obstruction symptom rating scale (NOSE), the sinonasal outcome test-22 (SNOT-22) and the facial appearance satisfaction (FACE-Q) scale before the surgery and postoperatively.

Results: There was no significant difference between the groups in terms of age and gender. Postoperative NOSE and SNOT-22 scores were significantly lower than preoperative scores in both groups (p<0.05). FACE-Q score, on the other hand, was significantly higher after surgery than preoperative scores (p<0.05). When the groups were compared with each other, postoperative NOSE and SNOT-22 scores were higher in the group without spreader (group 2). The postoperative FACE-Q score was higher in the spreader group (group 1).

Conclusion: In our study, it was concluded that the functional and aesthetic results of septorhinoplasty surgery performed with a spreader graft were better than the surgery performed without a spreader graft, when evaluated with patient-based questionnaire studies.

Keywords

Nose, rhinoplasty, spreader graft

Project Number

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References

• Apaydin F. Nasal valve surgery. Facial Plast Surg. 2011;27(2):179-91.
• Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plast Reconstr Surg. 1984;73(2):230-9.
• Fuller JC, Levesque PA, Lindsay RW. Assessment of the EuroQol 5-dimension questionnaire for detection of clinically significant global health-related quality-of-life improvement following functional septorhinoplasty. JAMA Facial Plast Surg. 2017;19(2):95-100.
• Klassen AF, Cano SJ, East CA, Baker SB, Badia L, Schwitzer JA et al. Development and Psychometric Evaluation of the FACE-Q Scales for Patients Undergoing Rhinoplasty. JAMA Facial Plast Surg. 2016;18(1):27-35.
• Karahatay S, Taşlı H, Karakoç Ö, Aydın Ü, Türker T. Reliability and validity of the Turkish Nose Obstruction Symptom Evaluation (NOSE) scale. Turk J Med Sci. 2018;48(2):212-6.
• Cakir Cetin A, Kumus O, Keskinoglu P, Sutay S, Ecevit MC. Turkish validation of the Sino-Nasal Outcome Test-22. Clin Otolaryngol. 2019;44(4):557-64.
• Marakami C (2004) Nasal valve collapse. Ear Nose Throat J. 2004;83(3):163-4.
• Pade J, Hummel T. Olfactory function following nasal surgery. Laryngoscope. 2008; 118(7):1260-4.
• Ingels KJ, Orhan KS, van Heerbeek N. The effect of spreader grafts on nasal dorsal width in patients with nasal valve insufficiency. Arch Facial Plast Surg. 2008;10(5):354-6.
• Faris C, Koury E, Kothari P, Frosh A. Functional rhinoplasty with batten and spreader grafts for correction of internal nasal valve incompetence. Rhinology. 2006;44(2):114-7.
• Jang YJ, Sinha V. Spreader graft in septo-rhinoplasty. Indian J Otolaryngol Head Neck Surg. 2007;59(2):100-2.
• Yankov D. Functional and aesthetic effects of spreader grafts technique in rhinoplasty. Scr Sci Medica 2014;46:68–73
• Goffart Y, Karelle S, Daele J. Free spreader grafts in rhinoplasty. Eur J Plast Surg. 2015;38(5):355-62.
• Fuller JC, Levesque PA, Lindsay RW. Analysis of Patient-Perceived Nasal Appearance Evaluations Following Functional Septorhinoplasty With Spreader Graft Placement. JAMA Facial Plast Surg. 2019;21(4):305-11.
• de Pochat VD, Alonso N, Mendes RR, Cunha MS, Menezes JV. Nasal patency after open rhinoplasty with spreader grafts. J Plast Reconstr Aesthet Surg. 201;65(6):732-8.
• Wagner W, Schraven SP. Spreader grafts in septorhinoplasty. Laryngorhinootologie. 2011;90 (5):264-74.
• Gruber RP, Park E, Newman J, Berkowitz L, Oneal R. The spreader flap in primary rhinoplasty. Plast Reconstr Surg. 2007;119(6):1903-10.
• Saedi B, Amali A, Gharavis V, Yekta BG, Most SP. Spreader flaps do not change early functional outcomes in reduction rhinoplasty: a randomized control trial. Am J Rhinol Allergy. 2014;28(1):70-4.
• Hassanpour SE, Heidari A, Moosavizadeh SM, Tarahomi MR, Goljanian A, Tavakoli S. Comparison of aesthetic and functional outcomes of spreader graft and autospreader flap in rhinoplasty. World J Plast Surg. 2016;5(2):133-8.
• Sowder JC, Thomas AJ, Gonzalez CD, Limaye NS, Ward PD. Use of spreader flaps without dorsal hump reduction and the effect on nasal function. JAMA Facial Plast Surg. 2017;19(4):287-92.
• Hussein WK, Elwany S, Montaser M. Modified autospreader flap for nasal valve support: utilizing the spring effect of the upper lateral cartilage. Eur Arch Otorhinolaryngol. 2015;272(2):497-504.