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Ultrasonographic evaluation of long‐term results of nasal tip defatting in rhinoplasty cases
Author(s) -
Nemati Shadman,
Banan Rahmatollah,
Alizadeh Ahmad,
Leili Ehsan Kazemnejad,
Kerdari Hassan
Publication year - 2013
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.23862
Subject(s) - defatting , rhinoplasty , medicine , surgery , ultrasonography , significant difference , dermis , nose , pathology , chemistry , food science
Objectives/Hypothesis Nasal skin thickness has an important role in aesthetic results of rhinoplasty. The aim of this study was to evaluate the long‐term results of tip and supratip skin defatting technique in rhinoplasty subjects using ultrasonography. Study Design Prospective, randomized, case‐control study. Methods Among 111 rhinoplasty cases referred to a university hospital between February 2010 and September 2011, after physical examination and measuring the nasal tip and supratip skin thickness by ultrasonography, a total of 55 patients with thick and moderate skin were randomly allocated for rhinoplasty using one of the following methods: rhinoplasty with (case group) and without (control group) defatting tip and supratip skin. Ultrasonographic evaluation of the skins was repeated 1 and 12 months after surgery, and the data were analyzed by Wilcoxon and repeated measure tests using SPSS 17 software. Results Twenty‐eight of 55 candidates (10 men, 45 women; mean age, 25.1 ± 7.6 years) underwent skin defatting during rhinoplasty; the other 27 patients did not undergo this procedure. Forty‐four patients completed the study. Thickness of tip and supratip skin was not statistically different before surgery and during follow‐up evaluations in defatting and nondefatting technique groups ( P = .7). Conclusions Defatting techniques have no effect on reducing tip and supratip skin thickness after rhinoplasty in moderate to thick skins. Laryngoscope , 123:2131–2135, 2013