Ramírez OFJ, Heras GD, Galarza LD, Mondragón ÁME

Language: Spanish
References: 15
Page: 88-92
PDF size: 1209.10 Kb.

ABSTRACT

Background: The nasal tip is the most complex and challenging aspect of nasal surgery; for that, there is a great variety of techniques used in primary or secondary rhinoplasty. Currently, nasal surgeons prefer cartilaginous grafts placement and sutures techniques.
Objective: To correct undefined, weakened and/or asymmetric nasal tip by the placement of a “fleur-de-lis” graft, and to evaluate aesthetic and functional results through patient’s and surgeon’s satisfaction.
Patients and method: This is an ambispective and longitudinal study. We included patients with functional and aesthetic dissatisfaction of the nasal tip submitted to a rhinoseptoplasty (RSP), in which was placed a “fleur-de-lis” tip graft (FLG) to correct it, from December 2006 to September 2008. We evaluated the functional and aesthetic satisfaction of both, patient and surgeon, with a visual analogue scale (VAS) from 1 to 5 (1 = very dissatisfied and 5 = very satisfied). Paired t was applied to evaluate the results comparing before and after differences.
Results: This study included 15 patients with ages ranging from 19 to 50 years (mean 34.2 ± 10.87). The endonasal approach was done in 9 patients (60%) and external approach in 6 (40%). Preoperatively, all patients were dissatisfied (VAS = 1). After surgery, patient satisfaction was 5 in 10 cases (66%), 4 in four cases (27%) and 3 in one case (7%); and surgeon satisfaction was 5 in eight cases (53%), 4 in six cases (40%) and 3 in one case (7%), with p ‹ 0.001.
Conclusions: “Fleur-de-lis” graft is an option for the management of the nasal tip in cases were the lower lateral cartilages are weak, thin, unsupported in primary or secondary rhinoseptoplasty, with good aesthetic and functional results.

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