Acarturk Sabri, Arslan Emrah, Demirkan Ferit, Unal Sakir
Medical Faculty, Plastic and Reconstructive Surgery, Cukurova University, Adana, Turkey.
J Plast Reconstr Aesthet Surg. 2006;59(4):409-16; discussion 417-8. doi: 10.1016/j.bjps.2005.05.023.
Severe middle vault deformity with disturbed nasal form and function is one of the most challenging procedures to correct in a secondary rhinoplasty. Reconstructing the deformity with autologous septal cartilage would be the primary choice of most surgeons, if it were always available. However in certain cases the lack of a sufficient quantity of autologous cartilage has forced surgeons to explore other viable options. This paper discusses our experience with the combined use of spreader and dorsal onlay grafts from various materials in the reconstruction of severe middle vault deformity in 110 patients. In follow up, (between 6 and 42 months; mean 21 months) all patients were noted to have improved in both aesthetics and function with no major complications noted. In summary, this study proposes that any engrafting material can be used safely when the proper surgical principals and technique are employed.
严重的中鼻拱畸形伴鼻外形和功能紊乱是二次鼻整形术中最难矫正的手术之一。如果自体鼻中隔软骨始终可用，用其重建畸形将是大多数外科医生的首选。然而，在某些情况下，自体软骨数量不足迫使外科医生探索其他可行的选择。本文讨论了我们在110例严重中鼻拱畸形重建中联合使用不同材料的鼻小柱支撑物和鼻背贴附移植的经验。在随访中（6至42个月；平均21个月），所有患者的美观和功能均有改善，未发现重大并发症。总之，本研究表明，当采用适当的手术原则和技术时，任何移植材料都可安全使用。
