Gandi Day Clinic, Tehran, Iran.
Eur Arch Otorhinolaryngol. 2011 Oct;268(10):1449-53. doi: 10.1007/s00405-011-1565-3. Epub 2011 Apr 8.
Autogenous fascia, including the temporalis fascia, has a particular role in rhinoplasty as radix and dorsal onlay grafts. The main purpose of this study is to achieve desired appearance of facial harmony using either a complete or partial sheet of deep temporal fascia as a radix graft in the patients with required permanent radix augmentation. This is a prospective study of 15 patients who referred to Gandi Day Clinic, Tehran, Iran, between 2005 and 2006 and underwent rhinoplasty including nasal radix augmentation using deep temporalis fascia through external rhinoplasty approach. The patients with hump noses had low radix and required radix augmentation. Full sheet facial graft was used in 13 patients. Partial sheet facial graft was used in two patients. As a donor site problem, minor hematoma was observed in one patient. Temporary hair loss in incision line was another problem which were seen in five. As for the recipient site, no infection, persistent erythema of nasal skin extrusion, visibility, displacement of graft materials or irregularity of graft contour were observed postoperatively. Resorption rate was approximately 30% for grafted fascia. Using fascia grafts in radix point, the revision rate was minimal. In order to augment the radix, if 4 mm augmentation is needed, it should be considered that full sheet fascia graft alone would be insufficient. If more than 4 mm of augmentation is needed, 30% overcorrection would manage well the permanent radix augmentation without any problem.
自体筋膜，包括颞筋膜，在鼻整形术中作为鼻尖和鼻背的移植材料具有特殊作用。本研究的主要目的是通过使用整块或部分颞深筋膜作为鼻尖移植物，为需要永久性鼻尖增高的患者达到预期的面部和谐外观。这是一项前瞻性研究，纳入了 2005 年至 2006 年期间在伊朗德黑兰甘地日间诊所就诊并接受了经皮入路鼻整形术联合颞深筋膜行鼻尖增高术的 15 例患者。驼峰鼻患者的鼻尖较低，需要进行鼻尖增高。13 例患者采用全层面部移植物，2 例患者采用部分层面部移植物。供区出现 1 例轻微血肿。5 例患者切口线出现暂时性脱发。受区无感染、鼻皮肤挤出持续性红斑、移植物外露、移位或轮廓不规则。移植物吸收率约为 30%。在鼻尖点使用筋膜移植物，修复率最低。如果需要 4mm 的增高，应考虑单独使用全层筋膜移植物可能不够。如果需要超过 4mm 的增高，则 30%的过矫正可以很好地管理永久性鼻尖增高，不会出现任何问题。
