Araco Antonino, Gravante Gianpiero, Gentile Pietro, Araco Francesco, Cervelli Valerio
Crown House Hospital, Oldburi, Birmingham, United Kingdom.
Scand J Plast Reconstr Surg Hand Surg. 2007;41(6):293-6. doi: 10.1080/02844310701694639.
We present our experience of reconstruction of the nasal valve after iatrogenic collapse, and evaluate the feasibility and outcome of composite grafts. We selected all collapsed nasal valves that occurred after primary aesthetic rhinoplasties of the total number done at the University Tor Vergata in Rome. We excluded collapses that followed septoplasty for nasal deviation, reconstructions, and rhinoplasties for trauma. We selected 15 patients of 1252 who presented from January 1998 to December 2003. Eleven patients who had collapse of both the external and internal valve were treated with a composite graft (septum plus retroauricular) inserted by an "open tip" technique. Four patients (1 with both internal and external valve collapse, 3 with only internal) were treated with a section and opening of the upper lateral cartilages, transposition and repositioning of mucocartilaginous flaps. Good functional and aesthetic results were achieved in almost all patients without complications. Composite cartilaginous grafts are an easy and safe technique for the treatment of iatrogenic collapse of the nasal valve.
我们介绍了医源性鼻瓣膜塌陷后进行重建的经验，并评估了复合移植物的可行性和效果。我们从罗马第二大学托尔韦尔加塔分校进行的所有初次美容隆鼻手术中挑选出所有医源性鼻瓣膜塌陷病例。我们排除了因鼻中隔偏曲行鼻中隔成形术、重建手术以及外伤后隆鼻手术导致的鼻瓣膜塌陷病例。我们从1998年1月至2003年12月期间就诊的1252例患者中挑选出15例。11例同时存在内外侧鼻瓣膜塌陷的患者采用“开放式鼻尖”技术植入复合移植物（鼻中隔加耳后组织）进行治疗。4例患者（1例同时存在内外侧鼻瓣膜塌陷，3例仅存在内侧鼻瓣膜塌陷）采用上外侧软骨切开并打开、黏膜软骨瓣移位及重新定位的方法进行治疗。几乎所有患者均取得了良好的功能和美学效果，且无并发症发生。复合软骨移植物是治疗医源性鼻瓣膜塌陷的一种简便且安全的技术。
