ĐÁNH GIÁ KẾT QUẢ PHƯƠNG PHÁP PHẪU THUẬT TẠO HÌNH MŨI BẰNG SỤN SƯỜN TOÀN PHẦN TẠI BỆNH VIỆN CHỢ RẪY TỪ 2022 - 2023

Abstract

Background: Evaluating the effectiveness of rhinoplasty using total autologous costal cartilage. Methods: The study describes a series of cases of 42 patients who underwent rhinoplasty surgery with autologous rib cartilage at Cho Ray hospital from 01/2022 to 10/2023. Results: The study was conducted on 42 patients undergoing rhinoplasty surgery using total rib cartilage. The average age of the patients was 29,74 ± 9,16 years (range 19 to 53 years). Of these, 90,48% of patients had nasal bone intervention. Dosal augmentation using solid rib cartilage 23,81%, diced rib cartilage 9,52%, combination of both methods 66,67%. In tip plasty, Columelar strut graft accounts for 28,57%, Cap graft 100%, Extended septal graft 71,43%, Spreader graft 64,29%. Post-operative results recorded 9,52% quite satisfied, 85,72% very satisfied with the aesthetic results as well as nasal function, in addition, 4,76% of patients were not satisfied with the surgical results. Complications at were recorded at 7,14%, complications of bad scar of the chest wall were recorded at 4,76%. Conclusion: Rhinoplasty surgery using autologous rib cartilage completely brings good results. Tip plasty, dosal augmentation, and nasal bone intervention are the three main surgical procedures. In tip plasty, Extended septal graft is used to create projection and rotation in cases where the lower lateral cartilage is thin and weak. The block rib cartilage combined with diced rib cartilage is suitable for patients with severe nasal injury.