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

Yok

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

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

Yok

Thanks

Yok

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