Yıl 2020, Cilt 4 , Sayı 4, Sayfalar 251 - 254 2020-04-01

Is Pitanguy’s ligament a true ligament? A prospective cohort study
Pitanguy ligamenti gerçek bir ligament midir? Bir prospektif kohort çalışma

Ali SEYED RESULİ [1]


Aim: Facial region anatomically differs from other parts of the body by various structures it contains, for example, the superficial musculoaponeurotic system (SMAS). Among these structures, the most discussed is the dermocartilaginous ligament (DCL). There are some researchers who claim that this ligament is the continuity of the SMAS as well as those who consider it to be a separate ligament. Our aim is to determine whether the DCL, known as Pitanguy’s ligament, is a true ligament based on histopathologic findings.
Methods: Open technique rhinoplasty was performed to all 52 patients with nasal obstruction and deformity complaints. During the operation, specimens were excised from the tissues thought to be the DCL in all patients for histopathological examination, which was performed by pathologists.
Results: Gross findings during the operation revealed that in most of the 52 patients, white dense fibrotic tissue, considered the DCL, was observed in the middle part of the nose. During histopathological examination, vascularized fibromuscular tissue fragments were observed in one patient and edematous connective tissue components were seen in the others.
Conclusion: Based on our results and literature research, the presence of fibrous tissue components in the intermedial crural area demonstrates that the DCL is a true ligament, but the absence of regular dense fibrous tissue components in our histopathologic findings requires further histological studies. In addition, we believe that DCL should be preserved to obtain natural and functional noses in open technic rhinoplasties.
Amaç: Fasiyal bölgede yüzeysel musküloaponörotik sistem (SMAS) adı verilen bir yapı olması nedeniyle, fasiyal bölgenin anatomik yapısında diğer vücut bölgelerinden farklılıkları vardır. Bu yapılar arasında en çok tartışılanı dermokartilajinöz ligamenttir (DCL). Bu ligamentin farklı bir ligament olduğunu düşünenlerin yanı sıra SMAS’ın devamlılığı olduğunu iddia eden bazı araştırmacılar da vardır. Bu çalışmadaki amacımız, Pitanguy’un ligamenti olarak bilinen DCL’nin histopatolojik bulgulardan sonra gerçek bir ligament olup olmadığını ortaya koymaktır.
Yöntemler: Burun tıkanıklığı ve deformite şikâyeti olan 52 hastanın hepsine açık teknik rinoplasti operasyonu uygulandı. Tüm hastalarda operasyon sırasında DCL olduğu düşünülen dokulardan histopatolojik inceleme için örnekler alındı. Histopatolojik incelemeler patologlar tarafından yapıldı.
Bulgular: Operasyon sırasında izlenen gross bulgularda 52 hastanın çoğunda bunun orta kesiminde DCL olduğu düşünülen beyaz dens fibrozis görüldü. Bir hastanın histopatolojik sonucunda vaskülarize fibromusküler doku fragmanları tespit edilmiş olup diğer hastaların spesmenlerinde ödemli bağ doku elemanları görülmüştür.
Sonuç: Elde ettiğimiz sonuçlara göre ve literatür ile karşılaştırıldığında gross bulgularda intermediyal krural alanda fibröz doku komponentlerinin varlığı DCL’nin gerçek bir ligament olduğunu gösterse de histopatolojik sonuçlarımızda düzenli sıkı bağ dokusu elemanlarının olmaması daha ileri histolojik çalışmaların yapılması gerektiğini ortaya koymaktadır. Ayrıca açık teknik rinoplastilerde doğal ve fonksiyonel burunlar elde edebilmek için DCL’in korunması gerektiğine inanmaktayız.
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Birincil Dil en
Konular Kulak, Burun, Boğaz
Bölüm Araştırma makalesi
Yazarlar

Orcid: 0000-0002-4262-1302
Yazar: Ali SEYED RESULİ (Sorumlu Yazar)
Kurum: İstanbul Yeni Yüzyıl University, Faculty of Medicine, Department of ENT
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Nisan 2020

Bibtex @araştırma makalesi { josam711748, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {251 - 254}, doi = {10.28982/josam.711748}, title = {Is Pitanguy’s ligament a true ligament? A prospective cohort study}, key = {cite}, author = {Seyed Resuli, Ali} }
APA Seyed Resuli, A . (2020). Is Pitanguy’s ligament a true ligament? A prospective cohort study . Journal of Surgery and Medicine , 4 (4) , 251-254 . DOI: 10.28982/josam.711748
MLA Seyed Resuli, A . "Is Pitanguy’s ligament a true ligament? A prospective cohort study" . Journal of Surgery and Medicine 4 (2020 ): 251-254 <http://jsurgmed.com/tr/pub/issue/53710/711748>
Chicago Seyed Resuli, A . "Is Pitanguy’s ligament a true ligament? A prospective cohort study". Journal of Surgery and Medicine 4 (2020 ): 251-254
RIS TY - JOUR T1 - Is Pitanguy’s ligament a true ligament? A prospective cohort study AU - Ali Seyed Resuli Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.711748 DO - 10.28982/josam.711748 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 251 EP - 254 VL - 4 IS - 4 SN - -2602-2079 M3 - doi: 10.28982/josam.711748 UR - https://doi.org/10.28982/josam.711748 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Is Pitanguy’s ligament a true ligament? A prospective cohort study %A Ali Seyed Resuli %T Is Pitanguy’s ligament a true ligament? A prospective cohort study %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 4 %R doi: 10.28982/josam.711748 %U 10.28982/josam.711748
ISNAD Seyed Resuli, Ali . "Is Pitanguy’s ligament a true ligament? A prospective cohort study". Journal of Surgery and Medicine 4 / 4 (Nisan 2020): 251-254 . https://doi.org/10.28982/josam.711748
AMA Seyed Resuli A . Is Pitanguy’s ligament a true ligament? A prospective cohort study. J Surg Med. 2020; 4(4): 251-254.
Vancouver Seyed Resuli A . Is Pitanguy’s ligament a true ligament? A prospective cohort study. Journal of Surgery and Medicine. 2020; 4(4): 251-254.
IEEE A. Seyed Resuli , "Is Pitanguy’s ligament a true ligament? A prospective cohort study", Journal of Surgery and Medicine, c. 4, sayı. 4, ss. 251-254, Nis. 2020, doi:10.28982/josam.711748