Jang Yong Ju, Wang Jong Hwan, Sinha Vikas, Song Hyung Min, Lee Bong-Jae
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Otolaryngol Head Neck Surg. 2007 Jul;137(1):88-92. doi: 10.1016/j.otohns.2007.01.009.
Tutoplast-processed fascia lata (TPFL) is a commercially available homograft, which has been successfully used as human graft tissue for physical support procedures. The present report evaluates the use of TPFL in rhinoplasty.
The study involved a retrospective analysis of rhinoplasty cases using TPFL. The study population consisted of 69 patients (52 male and 17 female) and a minimum follow-up of 12 months.
TPFL was used as a smoothening graft after correction of deviated and hump noses, as a major dorsal contouring graft for saddle or flat noses, and in secondary rhinoplasty following silicone implant complications. TPFL alone was used in 41 cases and in combination with other material in 28 cases. The only complication was major resorption in three cases, with two being secondary rhinoplasty patients.
TPFL alone or in combination with other materials can be used as a dorsal augmentation material in rhinoplasty. TPFL was particularly useful for correction of dorsal irregularities and in cases requiring a minimal amount of augmentation.
经脱细胞处理的阔筋膜（TPFL）是一种市售同种异体移植物，已成功用作人体移植组织用于物理支撑手术。本报告评估TPFL在鼻整形术中的应用。
该研究对使用TPFL的鼻整形病例进行回顾性分析。研究对象包括69例患者（52例男性和17例女性），最小随访时间为12个月。
TPFL在矫正偏曲鼻和驼峰鼻后用作平滑移植物，在鞍鼻或扁平鼻的主要鼻背轮廓整形中使用，以及在硅胶植入物并发症后的二次鼻整形中使用。单独使用TPFL 41例，与其他材料联合使用28例。唯一的并发症是3例出现严重吸收，其中2例为二次鼻整形患者。
TPFL单独或与其他材料联合可作为鼻整形术中的鼻背增高材料。TPFL对矫正鼻背不规则以及需要少量增高的病例特别有用。
