대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제17권3호
  • /
  • Pages.140-145
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  • 2016
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  • 2287-1152(pISSN)
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  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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The Clinical Analysis of the Nasal Septal Cartilage by Measurement Using Computed Tomography

  • Hwang, So Min (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Lim, On (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Hwang, Min Kyu (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Kim, Min Wook (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Lee, Jong Seo (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital)
  • 투고 : 2016.05.25
  • 심사 : 2016.09.12
  • 발행 : 2016.09.20
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초록

Background: The nasal septal cartilage is often used as a donor graft in rhinoplasty operations but can vary widely in size across the patient population. As such, preoperative estimation of the cartilaginous area is important for patient counseling as well as operating planning. We aim to estimate septal cartilage area by using facial computed tomography (CT) studies. Methods: The study was performed using facial CT images taken from 200 patients between January 2012 to July 2015. Using the mid-sagittal image, the boundary of cartilaginous septum was delineated from soft tissue using the mean difference in signal intensity (or brightness). The area within this boundary was calculated. The calculated area for septal cartilage was then compared across age groups and sexes. Results: Overall, the mean area of nasal septal cartilage was $8.18cm^2$ with the maximum of $12.42cm^2$ and the minimum of $4.89cm^2$. The cartilage areas were measured to be larger in men than in women (p<0.05). The area decreased with advancing age (p<0.05). Conclusion: Measuring the size of septal cartilage using brightness difference is more precise and reliable than previously reported methods. This method can be utilized as the standard for prevention of postoperative complication.

키워드

참고문헌

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피인용 문헌

  1. Dorsal Hump Reduction Based on the New Ethmoidal Point Classification: A Clinical and Radiological Study of the Keystone Area in 138 Patients vol.40, pp.9, 2016, https://doi.org/10.1093/asj/sjaa030
  2. Multilayered Costal Cartilage Graft for Nasal Dorsal Augmentation vol.44, pp.6, 2016, https://doi.org/10.1007/s00266-020-01712-3
  3. Folded Cymba Concha: Is It Large and Stable Enough for Caudal Septal Extension Graft in Asian Rhinoplasty? vol.41, pp.7, 2016, https://doi.org/10.1093/asj/sjab079
  4. Morphological and Molecular Evaluation of the Tissue Repair following Nasal Septum Biopsy in a Sheep Model vol.13, pp.2, 2016, https://doi.org/10.1177/19476035211046040