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Khirurgii

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Year 2022 Vol. 30 No 4

SCIENTIFIC PUBLICATIONS
EXPERIMENTAL SURGERY

S.A. IVANOV 1, O.G. KHOROV 2, A.L. RANKOVICH 1

ANALYZE OF OUTCOMES OF EXTERNAL NOSE RECONSTRUCTION USING CARTILAGE TRANSPLANTS

Gomel State Medical University 1, Gomel,
Grodno State Medical University 2, Grodno,
Republic of Belarus

Objective. To analyze the nasal function in patients who underwent reconstruction of the external nose using cartilage allografts.
Methods. The outcomes of 73 nasal reconstructions using cartilage allografts have been studied. Functional parameters were evaluated using the 5-point NAFEQ scale (functional part). Patients were interviewed immediately before the operation and 6 months after it. The distribution of scores before and after reconstruction was assessed in the entire group and in patients with initially normal and impaired function separately. Demographic and clinical parameters in patients with initially normal and impaired function were compared.
Results. The distribution of scores after reconstruction significantly improved in parameters of «nasal air passage», «nasal bleeding», «crusting», «total nasal functioning». The lowest scores were obtained for the formation of mucinous crusts, nasal breathing and total nasal functioning. There was no statistically significant dynamics in the distribution of pre- and postoperative scores in patients with initially normal function. A statistically significant increase of higher scores was marked in parameters of «nasal air passage», «nasal bleeding», «crusting», «total nasal functioning» in patients with functional impairments due to the disease caused defect. The total number of acceptable outcomes for total nasal functioning in the entire group was 68 (93%), among patients with initially normal function – 42 out of 43 (98%), among patients with functional impairments – 26 out of 30 (87%).
Conclusion. The use of cartilage allografts provided an acceptable functional outcomes in most cases, both in patients with initially normal function, and with functional impairments.

Keywords: nasal reconstruction, nasal function, allogeneic cartilage, cartilage graft
p. 382-391 of the original issue
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Address for correspondence:
246050, Republic of Belarus,
Gomel, Lange Str., 5.
Educational Establishment
Gomel State Medical University”,
Department of Oncology.
Phone +375 29 616 73 98,
e-mail: srgivgm@gmail.com
Ivanov Sergey A.
Information about the authors:
Ivanov Sergey A., PhD, Associate Professor, Associate Professor of the Department of Oncology, Gomel State Medical University, Gomel, Republic of Belarus.
http://orcid.org/0000-0002-9256-2910
Khorov Oleg G. MD, Professor, Head of the Department of Otorhinolaryngology, Grodno State Medical University, Grodno, Republic of Belarus.
http://orcid.org/0000-0002-8191-5784
Rankovich Alexey L., 5th Year Student of the Faculty of Medicine, Gomel State Medical University, Gomel, Republic of Belarus.
https://orcid.org/0000-0002-8564-079X
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