Title : Modern technologies of diagnosis and treatment in ent surgery
Abstract:
Statement of the Problem:
Endoscopic sinus surgery (ESS) is a modern method used to treat inflammatory diseases of the paranasal sinuses surgically. ESS is by far the most optimal method of surgical treatment of chronic sinusitis. We present the technological advances that have enabled endoscopic intranasal techniques to expand and successfully treat other pathologies. The boundaries of ESS are constantly expanding with the development of technology.
Background: The aim of this study was to evaluation of long-term outcomes and patients satisfaction after nasal dorsal rhinoplasty with allogeneic cartilage graft of the nasal septum.
Materials and methods: This study included 104 patients, ean age at surgery was 28.7 years (41 males; 63 females) who underwent nasal dorsal augmentation with allogenous nasal septal cartilage graft from 2017 to 2023. Donor patients were patients who had taken excess nasal septal cartilage during functional rhinoplasty. According to the indications, crushed allogenic septal cartilage graft and PRF was also used. Aesthetic results rhinoplasty were assessed from preoperative and postoperative photographs and also by visual inspection.To assess the results of aesthetic rhinoplasty Visual analogue scale (VAS) «Utrecht Questionnaire» was used.
Results: In 86 patients included in the study, there were no serious complications there was no deformation or extrusion. Allograft resorption was not observed in any of the cases. Analysis of mean aesthetic scores according to visual analogue scale (VAS) showed significant improvement after rhinoplasty from 3.6 preoperative to 8.3 (P <0.001) 3 months after surgery and 8.9 (P <0.001), respectively 1 year after surgery. Preoperative and postoperative mean aesthetic scores according to visual analogue scale (VAS)
Conclusions: Rhinoplasty with allogeneic cartilage graft of the nasal septum allows to achieve stable positive functional and aesthetic results and safe alternative to autologous cartilage in rhinoplasty, prevents complications, and additional surgical procedures. Rhinoplasty with allogeneic cartilage graft of the nasal septum allows to achieve stable positive functional and aesthetic results.
