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The effect of subperichondrial dissection on nasal vascularity in septorhinoplasty operations      
Yazarlar
Doç. Dr. Mustafa Mert BAŞARAN Doç. Dr. Mustafa Mert BAŞARAN
Kafkas Üniversitesi, Türkiye
Selmin Karataylı Özgürsoy
Ufuk Üniversitesi, Türkiye
Hande Arslan
Türkiye
Sinan Kocatürk
Türkiye
Özet
Nasal vascularization runs above the superficial musculoaponeurotic system (SMAS). Perichondrium covers the lower and upper lateral cartilages. In this study, nasal vascularization was compared between subperichondrial and supraperichondrial dissection in closed septorhinoplasty. 95 patients and 41 volunteers were included in this study. Supraperichondrial dissection was performed in 48 patients and subperichondrial dissection was performed in 47 patients. To measure blood stream, laser doppler flowmetry (LDF) was used and measurements were done preoperatively, on the postoperative first week; 3rd month and first year. The nasal tip and dorsum measurements were similar between the preoperative and postoperative first year in both groups (p = 1.000). However, in the supraperichondrial dissection group, nasal tip measurements showed a significant increase between the preoperative and third postoperative months (p = 0.011). This increase was accompanied by an increase in the minimal blood stream (p = 0.014). Both subperichondrial and supraperichondrial dissection techniques are physiological and result in fewer complications with minimal permanent vascular damage. We believe incision plays a critical role but keeping the perichondrium intact is important for short-term angiogenesis, where long-term results showed no difference in vascularization.
Anahtar Kelimeler
Dissection | Subperichondrial | Supraperichondrial | Rhinoplasty | Vascularization
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
Dergi ISSN 0937-4477
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q2
Makale Dili İngilizce
Basım Tarihi 04-2024
Cilt No 281
Sayı 4
Sayfalar 1827 / 1833
Doi Numarası 10.1007/s00405-023-08356-4
Makale Linki http://dx.doi.org/10.1007/s00405-023-08356-4
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
The effect of subperichondrial dissection on nasal vascularity in septorhinoplasty operations

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