Boccieri Armando, Macro Carlo, Pascali Michele
Department of Maxillo-Facial Surgery, S. Camillo Hospital, Rome, Italy.
Ann Plast Surg. 2005 Aug;55(2):127-31. doi: 10.1097/01.sap.0000168707.71596.f6.
Some candidates for primary rhinoplasty are at greater risk of postoperative complications due to the presence of certain very specific anatomic characteristics. The authors describe their experience with spreader grafts in primary rhinoplasty and provide an analytic method of identifying the types of patient needing such grafts who present a high risk of complications. Sixty patients were treated with spreader grafts during primary rhinoplasty. Bilateral spreader grafts were used in cases of "narrow nose syndrome" (short nasal bones, long and weak upper lateral cartilages, thin skin) and in cases of disproportionate nose with narrow middle vault and bulbous tip. Unilateral spreader grafts were placed on the concave side in cases of crooked nose. After an average follow-up of 17 months, all the patients reported improvement in functional and esthetic problems, with no complications related to the preoperative features.
由于某些非常特殊的解剖学特征的存在，一些初次鼻整形手术的候选人术后出现并发症的风险更高。作者描述了他们在初次鼻整形手术中使用撑开移植片的经验，并提供了一种分析方法，用于识别需要此类移植片且并发症风险高的患者类型。60例患者在初次鼻整形手术期间接受了撑开移植片治疗。双侧撑开移植片用于“窄鼻综合征”（鼻骨短、上外侧软骨长且薄弱、皮肤薄）以及中鼻道狭窄且鼻尖呈球根状的鼻比例失调病例。在歪鼻病例中，单侧撑开移植片放置在凹侧。平均随访17个月后，所有患者均报告功能和美学问题有所改善，且未出现与术前特征相关的并发症。
