Kelly Martin H, Bulstrode Neil W, Waterhouse Norman
London, United Kingdom From the Craniofacial Unit, Chelsea and Westminster Hospital.
Plast Reconstr Surg. 2007 Nov;120(6):1654-1659. doi: 10.1097/01.prs.0000285185.77491.ab.
Augmentation of the nasal dorsum using autologous cartilage remains an exacting task in rhinoplasty. Precise, long-term control over graft contour and alignment can be difficult to achieve. In an attempt to alleviate these problems, the use of diced cartilage wrapped in a supportive sleeve has recently seen a resurgence of interest. The Turkish delight technique uses Surgicel as the sleeve material, whereas Daniel and Calvert have proposed autologous fascia.
The objective of this study was to assess the efficacy and reliability of diced cartilage-fascia grafts in the treatment of dorsal nasal volume deficiencies.
Over a 2-year period, 20 adult patients underwent nasal augmentation using diced cartilage-fascia grafts. The indications for dorsal grafting were congenital saddling, racial refinement, or iatrogenic or posttraumatic deformities. Apart from one infection, all of the hybrid grafts retained their original volume and had not undergone resorption by a mean time of 16 months postoperatively. A critical analysis of the radix-dorsum aesthetics led to a minor modification of the original technique.
This series supports the use of diced cartilage-fascia grafts for the correction of difficult dorsal nasal defects with grafting in the 3- to 5-mm range in primary and secondary rhinoplasty.
在鼻整形术中，使用自体软骨增加鼻背高度仍是一项艰巨的任务。难以实现对移植物轮廓和排列的精确、长期控制。为了缓解这些问题，最近，将切碎的软骨包裹在支撑套管中的方法再次受到关注。土耳其软糖技术使用 Surgicel 作为套管材料，而丹尼尔和卡尔弗特则提出使用自体筋膜。
本研究的目的是评估切碎的软骨 - 筋膜移植物治疗鼻背容积不足的疗效和可靠性。
在 2 年期间，20 例成年患者接受了切碎的软骨 - 筋膜移植物隆鼻术。鼻背移植的适应症包括先天性鞍鼻、种族改善、医源性或创伤后畸形。除 1 例感染外，所有混合移植物均保持其原始体积，术后平均 16 个月未发生吸收。对鼻根 - 鼻背美学的批判性分析导致对原始技术进行了轻微修改。
本系列研究支持在一期和二期鼻整形术中，使用切碎的软骨 - 筋膜移植物矫正 3 至 5 毫米范围内的鼻背复杂缺损。
