植入性软骨移植以增加面部垂直长度。
Interpositional cartilage grafts to improve vertical length of the face.
作者信息
Guerrerosantos José, Sterzi Cristina
机构信息
Jalisco Plastic and Reconstructive Surgery Institute, Plastic Surgery Division of the University of Guadalajara, Medical School, Guadalajara, Jalisco, Mexico.
出版信息
J Craniofac Surg. 2010 Nov;21(6):1666-9. doi: 10.1097/SCS.0b013e3181f3c6f7.
BACKGROUND
Most plastic surgeons in the past used bone grafts for nasal augmentation and for augmentation of the middle third of the face, and we, in our service, also used bone grafts at that time. Later, however, most plastic surgeons changed, and cartilage grafts are now the favorite material for rhinoplasty. For many years, we used cartilage grafts in rhinoplasty, and we now report the use of cartilage grafts to augment the length of the middle third of the face.
METHODS
We performed an osteotomy Le Fort I and harvest cartilage grafts from the costal region; then, we placed cartilage grafts between the upper portion and the lower portion of the maxilla to augment the vertical dimension of the middle third of the face.
RESULTS
Results in our patients were excellent.
CONCLUSIONS
Instead of bone grafts, cartilage grafts can be used as a good alternative to augment the vertical dimension of the maxilla.
背景
过去大多数整形外科医生使用骨移植来进行鼻整形和面部中三分之一的增大，当时我们科室也使用骨移植。然而，后来大多数整形外科医生改变了做法，现在软骨移植是鼻整形最常用的材料。多年来，我们在鼻整形中使用软骨移植，现在我们报告使用软骨移植来增大面部中三分之一的长度。
方法
我们进行了勒福Ⅰ型截骨术，并从肋区获取软骨移植；然后，我们将软骨移植置于上颌的上部和下部之间，以增大面部中三分之一的垂直尺寸。
结果
我们患者的结果非常好。
结论
软骨移植可作为替代骨移植的良好选择，用于增大上颌的垂直尺寸。
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