Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Otolaryngol Head Neck Surg. 2011 Apr;144(4):528-32. doi: 10.1177/0194599810391720. Epub 2011 Jan 31.
Tutoplast-processed fascia lata (TPFL) is a commercially available homograft that has been successfully used as human graft tissue for dorsal augmentation in rhinoplasty. The present study evaluated the use of TPFL as an onlay tip graft material in rhinoplasty.
Case series with chart review.
Academic tertiary care medical center.
The study involved a retrospective analysis of rhinoplasty cases using TPFL as a tip onlay graft. The study included 82 patients (46 men and 36 women) who underwent tip surgery using TPFL from February 2006 to June 2008. By comparing facial photographs before and after the operation, 2 independent rhinoplastic surgeons assessed outcomes of 8 months postoperative time as being excellent, fair, or poor. Using the pre- and postoperative profile view, anthropometric measurements were also made.
The 82 subjects included 71 primary and 11 revision patients. TPFL was used as a tip onlay graft in final tip modification. Postoperative assessment found that only 6 (7%) patients had excellent results, 51 (62%) had fair results, and 25 (31%) had poor results. Pre- and postoperative anthropometric measurements showed the technique resulted in an overall increased nasal tip projection postoperatively (0.56 ± 0.09 vs 0.60 ± 0.08; P < .05). However, the overall nasolabial angle was not changed after surgery (91.35 ± 10.36° vs 93.05 ± 8.3°; P = .08). No patient experienced infection, visible graft contour, or migration.
TPFL was not that satisfactory in terms of aesthetic outcome when used as a tip onlay graft material in rhinoplasty patients.
经 Tutoplast 处理的阔筋膜（TPFL）是一种市售的同种异体移植物，已成功用作鼻整形术的背侧增强的人移植物组织。本研究评估了将 TPFL 用作鼻整形术的衬垫尖端移植物材料的用途。
病例系列和图表回顾。
学术三级保健医疗中心。
该研究涉及使用 TPFL 作为尖端衬垫移植物的鼻整形术病例的回顾性分析。该研究包括 2006 年 2 月至 2008 年 6 月期间使用 TPFL 进行尖端手术的 82 例患者（46 名男性和 36 名女性）。通过比较手术前后的面部照片，2 位独立的鼻整形术医生评估了 8 个月术后时间的结果为优秀、一般或差。使用术前和术后的侧位照片，还进行了人体测量学测量。
82 名受试者包括 71 名初次手术患者和 11 名修复手术患者。TPFL 被用作最终尖端修正的尖端衬垫移植物。术后评估发现，只有 6 名（7％）患者的结果为优秀，51 名（62％）患者的结果为一般，25 名（31％）患者的结果为差。术前和术后的人体测量学测量显示，该技术导致术后鼻尖突出度总体增加（0.56 ± 0.09 比 0.60 ± 0.08；P <.05）。然而，手术后总的鼻唇角并没有改变（91.35 ± 10.36°比 93.05 ± 8.3°；P =.08）。没有患者出现感染、可见移植物轮廓或移位。
在鼻整形术患者中，将 TPFL 用作尖端衬垫移植物材料时，在美学效果方面并不令人满意。
