弹性双弓模型引导的鼻翼软骨强化联合韧带重建在东亚人鼻整形术中的应用：一项多中心前瞻性观察性研究
Elastic Double Arch Model-Guided Alar Cartilage Reinforcement With Ligamentous Reconstruction in East Asian Rhinoplasty: A Multicenter Prospective Observational Study.
文献信息
| PMID | 42781764 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Yang Hu |
| 作者单位 | Department of Plastic Surgery of Third Xiangya Hospital, Central South University, Changsha, Hunan, China. |
| 期刊 | Aesthetic surgery journal |
| SCI 分区 | Q1 |
| IF | 3.8 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景： 传统的结构式鼻整形术可提供可靠的鼻尖支撑，但可能增加僵硬并限制生理性鼻尖活动度，尤其是在需要突出和延长的东亚患者中。
目的： 评估弹性双弓模型引导的鼻整形技术在东亚初次或修复鼻整形患者中的美学、功能和动态结果。
方法： 这项多中心前瞻性观察性研究连续纳入了213例东亚患者，他们接受了使用薄皮质肋软骨移植物进行鼻翼弓强化联合鼻尖韧带重建的初次或修复鼻整形术。15例患者失访，最终198例患者纳入分析，包括72例初次和126例修复病例。结局包括VAS-美容、FACE-Q鼻整形模块、VAS-功能、NOSE评分、定量鼻尖活动度和并发症。
结果： 两组的美学和功能结局均显著改善。在有36个月数据的患者中，初次病例的VAS-美容从5.02 ± 0.88改善至8.40 ± 0.85，FACE-Q从42.5 ± 8.6改善至84.2 ± 7.5；修复病例的相应值从4.87 ± 0.91改善至8.20 ± 0.92，从40.2 ± 9.1改善至81.5 ± 8.2。功能评分也得到改善。初次病例的鼻尖活动度得以保留，修复病例的鼻尖活动度显著恢复。并发症不常见。
结论： 这种解剖整合技术在选定的东亚鼻整形患者中与美学和功能结局的改善相关，同时保留或恢复了具有临床意义的鼻尖活动度。
英文摘要
BACKGROUND: Conventional structural rhinoplasty can provide reliable nasal tip support but may increase stiffness and restrict physiologic tip mobility, particularly in East Asian patients requiring projection and lengthening.
OBJECTIVES: To evaluate the aesthetic, functional, and dynamic outcomes of an Elastic Double Arch Model-guided rhinoplasty technique in East Asian patients undergoing primary or revision rhinoplasty.
METHODS: This multicenter prospective observational study enrolled 213 consecutive East Asian patients who underwent primary or revision rhinoplasty using thin cortical costal cartilage grafts for alar arch reinforcement combined with nasal tip ligamentous reconstruction. Fifteen patients were lost to follow-up, leaving 198 patients for final analysis, including 72 primary and 126 revision cases. Outcomes included VAS-cosmetic, FACE-Q Rhinoplasty Module, VAS-functional, NOSE score, quantitative nasal tip mobility, and complications.
RESULTS: Aesthetic and functional outcomes improved significantly in both groups. Among patients with available 36-month data, VAS-cosmetic improved from 5.02 ± 0.88 to 8.40 ± 0.85 and FACE-Q from 42.5 ± 8.6 to 84.2 ± 7.5 in primary cases; corresponding values improved from 4.87 ± 0.91 to 8.20 ± 0.92 and from 40.2 ± 9.1 to 81.5 ± 8.2 in revision cases. Functional scores also improved. Nasal tip mobility was preserved in primary cases and markedly restored in revision cases. Complications were uncommon.
CONCLUSIONS: This anatomically integrated technique was associated with improved aesthetic and functional outcomes while preserving or restoring clinically meaningful nasal tip mobility in selected East Asian rhinoplasty patients.