Lefkovits G
Division of Plastic Surgery, Lenox Hill Hospital, New York, NY.
Ann Plast Surg. 1990 Oct;25(4):317-27. doi: 10.1097/00000637-199010000-00014.
Although the ideal reconstructive material for augmentation rhinoplasty continues to challenge plastic surgeons, there exists no report in the literature that confines the use of irradiated homologous costal cartilage, first reported by Dingman and Grabb in 1961, to dorsal nasal augmentation. The purpose of this paper is to present a retrospective analysis of the author's experience using irradiated homologous costal cartilage in augmentation rhinoplasty. Twenty-seven dorsal nasal augmentations were performed in 24 patients between 16 and 49 years of age with a follow-up ranging from 1 to 27 months. Good-to-excellent results were achieved in 83.3% (20 of 24). Poor results requiring revision were found in 16.7% (4 of 24). Complication rates included 7.4% infection (2 of 27) and 14.8% warping (4 of 27). The resorption rate was zero. These results compare favorably with other forms of nasal augmentation. Advantages and disadvantages of irradiated homologous costal cartilage are discussed.
尽管隆鼻整形的理想重建材料仍在挑战整形外科医生，但文献中尚无报告将1961年丁曼和格拉布首次报道的经辐照的同种异体肋软骨的使用局限于鼻背增高术。本文的目的是对作者使用经辐照的同种异体肋软骨进行隆鼻整形的经验进行回顾性分析。对24例年龄在16至49岁之间的患者进行了27次鼻背增高术，随访时间为1至27个月。83.3%（24例中的20例）取得了良好至极佳的效果。16.7%（24例中的4例）出现了需要修复的不良结果。并发症发生率包括7.4%的感染（27例中的2例）和14.8%的弯曲（27例中的4例）。吸收率为零。这些结果与其他隆鼻形式相比具有优势。文中讨论了经辐照的同种异体肋软骨的优缺点。
