Search citation statements
Paper Sections
Citation Types
Year Published
Publication Types
Relationship
Authors
Journals
BACKGROUND Augmentation rhinoplasty with autologous fat grafting is a useful procedure to meet the demand for facial harmonization in the Asian population. We used this procedure during orthognathic surgery to address inadequate dorsum projection. OBJECTIVE This prospective study was conducted to determine the fat retention rate in patients with simultaneous autologous fat injection augmentation rhinoplasty and orthognathic surgery. METHODS Nineteen patients were treated with simultaneous bimaxillary orthognathic surgery and autologous fat grafting of the nasal dorsum and tip. The paired- t -test was used to compare the nasal volumes before and at least 6 months after surgery measured by 3D CT scans. All measurements were performed twice by the same evaluator at least 2 weeks apart for intra-rater consistency. RESULTS Seventeen patients completed the study. The volume means before and after surgery were 22.3 +/- 4.6 cm3 and 23.3 +/-4.7 cm3 respectively with a mean difference of 1.0 +/- 0.3 cm3 (p<0.001). The mean retention rate was calculated to be 50.5 +/- 7.0% (range 40.5% to 64.7%). Intra-rater consistency was high with a Cronbach α of 0.97 (P<0.001) and 0.98 (P<0.001) respectively. CONCLUSIONS To the best of our knowledge, this is the first prospective study that provides objective graft retention measurements based on computer tomography scans for orthognathic surgery combined with fat injection. All patients were satisfied with the results and no complications or additional morbidity was noted in the postoperative course. We consider this procedure to be a safe, reliable and powerful adjunct to improve the aesthetic results of orthognathic surgery.
BACKGROUND Augmentation rhinoplasty with autologous fat grafting is a useful procedure to meet the demand for facial harmonization in the Asian population. We used this procedure during orthognathic surgery to address inadequate dorsum projection. OBJECTIVE This prospective study was conducted to determine the fat retention rate in patients with simultaneous autologous fat injection augmentation rhinoplasty and orthognathic surgery. METHODS Nineteen patients were treated with simultaneous bimaxillary orthognathic surgery and autologous fat grafting of the nasal dorsum and tip. The paired- t -test was used to compare the nasal volumes before and at least 6 months after surgery measured by 3D CT scans. All measurements were performed twice by the same evaluator at least 2 weeks apart for intra-rater consistency. RESULTS Seventeen patients completed the study. The volume means before and after surgery were 22.3 +/- 4.6 cm3 and 23.3 +/-4.7 cm3 respectively with a mean difference of 1.0 +/- 0.3 cm3 (p<0.001). The mean retention rate was calculated to be 50.5 +/- 7.0% (range 40.5% to 64.7%). Intra-rater consistency was high with a Cronbach α of 0.97 (P<0.001) and 0.98 (P<0.001) respectively. CONCLUSIONS To the best of our knowledge, this is the first prospective study that provides objective graft retention measurements based on computer tomography scans for orthognathic surgery combined with fat injection. All patients were satisfied with the results and no complications or additional morbidity was noted in the postoperative course. We consider this procedure to be a safe, reliable and powerful adjunct to improve the aesthetic results of orthognathic surgery.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.