Đánh giá kết quả tạo hình thẩm mỹ mũi bằng sụn sườn tự thân toàn bộ tại Bệnh viện Chợ Rẫy

Abstract

Objective: To assess the results of rhinoplasty by autologous costal cartilage (the dorsum is shaped by crushed and finely cut costal cartilage) at Cho Ray Hospital. Subject and method: Retrospective method describing a series of cases. Subjects are customers over 18 years old who are indicated for rhinoplasty with autologous costal cartilage at Cho Ray Hospital's Aesthetic & Plastic Surgery Department from June 2020 to July 2022. The autologous costal cartilage is sliced ​​to reconstruct the supporting frame of the nose, shaping the grafts, the rest is crushed, finely cut and inserted into the dorsum. Surgical outcome was evaluated 2 week, 1-3 months and 6 months - 1 year after surgery. Result: 259 patients, in which 57 male patients and 202 female patients, the youngest age was 18 years old and the oldest was 58 years old. There were 48.69% of patients who had rhinoplasty once, 7.34% had rhinoplasty 2 or more times and 43.59% had just rhinoplasty the first. 56.03% of patients had revision rhinoplasty, 15.44% due to congenital anomalies, 15.05% due to trauma and 13.48% congenital low nose. 100% of patients participating in the study used autologous costal cartilage as septal extension graft; 59.8% had cartilage membrane cover on tip of the nose which thin skin; about dorsum: 1.54% used temporal muscle scales to wrap the crushed and finely cut costal cartilage, 4.25% used abdominal wall muscle scales, 94.21% directly injected. Supporting grafts: 100% use Cap graft, 66.8% use Shield graft and 33.2% use Spreader graft. The patients had a significant change in the nasal anthropometric indices and 100% of the patients kept the normal nasal ventilation function. No early complications and distant complications of surgery were recorded. After 3 months of surgery 86.48% (224 patients) were very satisfied with the surgical results, 13.51% (35 patients) were satisfied; after 6 months of surgery 92.66% (240 patients) were very satisfied with the surgical results, 7.33% (19 patients) were satisfied, and no patient was dissatisfied with the surgical results. There were no cases of cartilage loss after 1 year. Conclusion: Rhinoplasty with structural method by autologous costal cartilage brings good results to the patient. Autologous costal cartilage is a safe and effective material in rhinoplasty, especially with nose correction, trauma, and congenital malformations.