Lonic, Daniel and Hsiao, Yen-Chang and Huang, Jung-Ju and Chang, Chun-Shin and Chen, Jyh-Ping and Heidekrueger, Paul and Kehrer, Andreas and Prantl, Lukas and Lo, Lun-Jou and Chen, Yu-Ray (2022) Simultaneous Fat Injection for Nasal Contouring in Orthognathic Patients. CLEFT PALATE-CRANIOFACIAL JOURNAL, 59 (7). pp. 910-917. ISSN 1055-6656, 1545-1569
Full text not available from this repository. (Request a copy)Abstract
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. This prospective study was conducted to determine the fat retention rate in patients undergoing 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 3-dimensional computer tomography scans. All measurements were performed twice by the same evaluator at least 2 weeks apart for intrarater consistency. Results: Seventeen patients completed the study. The volume means before and after surgery were 22.3 +/- 4.6 cm(3) and 23.3 +/- 4.7 cm(3), respectively, with a mean difference of 1.0 +/- 0.3 cm(3) (P < .001). The mean retention rate was calculated to be 50.5% +/- 7.0% (range: 40.5%-64.7%). Intrarater consistency was high with a Cronbach alpha of .97 (P < .001) and .98 (P < .001), respectively. Conclusion: This prospective study provides objective graft retention measurements for fat injection augmentation rhinoplasty combined with orthognathic surgery. 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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | orthognathic surgery; computerized tomography; rhinoplasty; facial morphology |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie |
| Depositing User: | Petra Gürster |
| Date Deposited: | 05 Jun 2025 06:58 |
| Last Modified: | 05 Jun 2025 06:58 |
| URI: | https://pred.uni-regensburg.de/id/eprint/47355 |
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