ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ PHẪU THUẬT TẠO HÌNH MŨI KẾT HỢP TẠO HÌNH ĐẦU MŨI BẰNG VẬT LIỆU POLYCAPROLACTONE (PCL) VÀ SỤN VÀNH TAI CỦA BỆNH NHÂN TẠI BỆNH VIỆN THẨM MỸ SAO HÀN THÀNH PHỐ HỒ CHÍ MINH NĂM 2025

Abstract

Objective: To investigate the clinical characteristics of patients and to evaluate the surgical outcomes of rhinoplasty combined with nasal tip plasty using polycaprolactone (PCL) material and auricular cartilage. Materials and Methods: A descriptive case series study was conducted on 32 patients undergoing primary rhinoplasty at Sao Han Aesthetic Hospital. Results: The nasal dorsum types were distributed as follows: straight (31.25%), humps (25%), fractured (21.875%), and depressed (21.875%). Three months postoperatively, nasal dorsum length increased from 36.21 ± 2.595 mm to 39.12 ± 2.523 mm; nasal tip projection increased from 15.31 ± 1.693 mm to 19.63 ± 2.554 mm; alar width decreased from 39.13 ± 2.921 mm to 37.17 ± 2.776 mm; the nasofrontal angle increased from 138.47 ± 10.519° to 140.5 ± 6.021°; and the nasolabial angle increased from 87.25 ± 12.412° to 91.5 ± 3.935°. Several indices showed significant changes: Baum index from 1.33 ± 0.193 to 1.11 ± 0.037, Goode index from 0.61 ± 0.059 to 0.66 ± 0.057, Crumley index 1 from 5.05 ± 0.648 to 3.48 ± 0.304, and Crumley index 2 from 4.82 ± 0.46 to 4.00 ± 0.361 (p<0.05). The ideal nasal index (n–prn:sn–prn:rH:n–en) changed from 2.48:1:0.7:0.91 to 1.92:1:0.72:0.92. Recorded complications included prolonged edema lasting more than two weeks (3.125%), deviation of the nasal dorsum (3.125%), and decreased sensation at the nasal tip (37.5%). The ROE score increased significantly from 10,06 ± 3,331 to 20,66 ± 2,535. Conclusion: Rhinoplasty combined with nasal tip plasty using polycaprolactone (PCL) material and auricular cartilage demonstrated favorable outcomes at three months postoperatively.