Romo Thomas, Sonne Jonathan, Choe Kyle S, Sclafani Anthony P
Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary, New York, NY, USA.
Facial Plast Surg. 2003 Nov;19(4):299-307. doi: 10.1055/s-2004-815649.
Revision rhinoplasty can be one of the most complicated procedures performed by the facial plastic surgeon. As septal cartilage is often not available in revision procedures, grafting material is often needed. This material can come in the form of autogenous bone and cartilage. Allografts also can be used, including mersilene, expanded polytetrafluoroethylene, and porous high-density polyethylene (PHDPE). In this article, emphasis is placed on the senior author's method in evaluating candidates for revision rhinoplasty as well as techniques using PHDPE. In addition, the properties of the more commonly used allografts are described, including the advantages and disadvantages of using each material in revision rhinoplasty procedures. In comparing the various alloplastic materials available, it is shown that PHDPE has properties that make it an excellent implant for revision rhinoplasty.
鼻整形修复术可能是面部整形外科医生实施的最复杂的手术之一。由于在鼻整形修复手术中常常无法获取鼻中隔软骨，因此通常需要移植材料。这种材料可以是自体骨和软骨的形式。同种异体移植物也可使用，包括涤纶、膨体聚四氟乙烯和多孔高密度聚乙烯（PHDPE）。在本文中，重点介绍了资深作者评估鼻整形修复术候选人的方法以及使用PHDPE的技术。此外，还描述了更常用的同种异体移植物的特性，包括在鼻整形修复手术中使用每种材料的优缺点。在比较各种现有的异质材料时，结果表明PHDPE具有使其成为鼻整形修复术理想植入物的特性。
