Daniel Rollin K, Sajadian Ali
Facial Plast Surg. 2012 Aug;28(4):417-26. doi: 10.1055/s-0032-1319840. Epub 2012 Aug 7.
Any discussion of grafting the dorsum in secondary rhinoplasty must take into account the different indications (aesthetic, augmentation, and structure) as well as recent changes in materials and techniques (fascia, diced cartilage). We have placed solid dorsal grafts with diced cartilage grafts either as an isolated diced cartilage graft in fascia graft or as the aesthetic dorsal contour layer of a composite reconstruction. The rational for this profound change in selection and indication of dorsal grafts for revising the overresected dorsum will become clear as the various alternative materials and techniques are analyzed. Currently, we only employ autogenous tissues.
在二次鼻整形术中,任何关于鼻背移植的讨论都必须考虑到不同的适应症(美学、增高和结构)以及材料和技术(筋膜、碎软骨)的最新变化。我们已经使用碎软骨移植放置固体鼻背移植物,要么作为筋膜移植中的单独碎软骨移植,要么作为复合重建的美学鼻背轮廓层。随着对各种替代材料和技术的分析,用于修复过度切除鼻背的鼻背移植物在选择和适应症上这一深刻变化的原理将变得清晰。目前,我们只使用自体组织。