Analysis of the Effect of Autogenous Costal Cartilage Transplantation Combined with Silicone Augmentation Rhinoplasty in Nasal Cosmetic and Plastic Repair

Abstract

Purpose: To analyze the application value of autogenous costal cartilage transplantation combined with silicone augmentation rhinoplasty. Methods: From January 2022 to January 2023, 84 patients with cosmetic and plastic repair of nose were divided into observation group (44 cases were treated with autogenous costal cartilage transplantation combined with silicone augmentation rhinoplasty) and control group (40 cases were treated with silicone augmentation rhinoplasty) according to the surgical intention of the patients. Compare the difference of prognosis indexes between the two groups after operation, and compare the changes of nasal parameters before and after operation between the two groups, and finally compare the difference of patients' satisfaction between the two groups. Results: ①The 3dVAS score of the observation group was lower than that of the control group (P<0.05), and the wound healing time was shorter than that of the control group (P<0.05); ②The incidence of postoperative complications in the observation group was 4.5%, and that in the control group was 15%. The incidence of postoperative complications in the observation group was lower than that in the control group (P＜0.05); ③There was no significant difference between the two groups (P>0.05) in the angle of nose, the height of nose root and the angle of nose face before operation. The angle of nose tip, the height of nose root and the angle of nose face in the observation group were higher than those in the control group 3 months after operation (P<0.05); ④The satisfaction of the observation group was higher than that of the control group (P<0.05). Conclusion: Autogenous costal cartilage transplantation combined with silicone augmentation rhinoplasty has the advantages of short wound healing time, less postoperative complications and good repair effect, which is helpful to improve the satisfaction of patients and can be widely used.