Department of Otorhinolaryngology–Head & Neck Surgery, Seoul National University Boramae Medical Center, 39, Boramae-Gil, Dongjak-gu, Seoul, 156-707, South Korea.
Otolaryngol Head Neck Surg. 2012 Dec;147(6):1054-9. doi: 10.1177/0194599812459026. Epub 2012 Aug 29.
To assess the feasibility of immediate reconstruction with autologous cartilage after removal of infected alloplast in revision rhinoplasty.
Case series with chart review.
Academic university hospital.
Patients who met the following inclusion criteria were the subjects of the present study: (1) revision rhinoplasty, (2) alloplastic implant-related infection, (3) immediate reconstruction with autologous cartilage at the time of implant removal, and (4) follow-up of more than 12 months. Data analysis included number of previous operations; type of alloplastic implant used; culture results; reconstruction method; complications, including reinfection and graft resorption; and aesthetic results.
The 21 patients who met the inclusion criteria included 8 women and 13 men with a mean age of 37 years. Associated alloplast included silicone (10 cases), expanded polytetrafluoroethylene (9 cases), and Medpor (2 cases). With a mean follow-up of 35 months, infection occurred in 1 patient that subsided with antibiotics. No major clinical absorption was encountered. Revision was performed in 1 patient with costal cartilage warping. No revision was required for infection or graft absorption.
Immediate reconstruction using autologous cartilage in revision rhinoplasty needing removal of an infected alloplast has shown a favorable outcome with minimal complications.
评估在修复性鼻整形术中去除感染性异体移植物后立即使用自体软骨进行重建的可行性。
病例系列，病历回顾。
学术大学医院。
符合以下纳入标准的患者为本研究的受试者：（1）修复性鼻整形术，（2）异体移植物相关感染，（3）在移植物去除时立即使用自体软骨进行重建，（4）随访时间超过 12 个月。数据分析包括：既往手术次数；使用的异体移植物类型；培养结果；重建方法；包括再感染和移植物吸收在内的并发症；以及美学效果。
符合纳入标准的 21 例患者中包括 8 名女性和 13 名男性，平均年龄为 37 岁。相关的异体移植物包括硅橡胶（10 例）、膨化聚四氟乙烯（9 例）和 Medpor（2 例）。平均随访 35 个月，1 例患者发生感染，经抗生素治疗后消退。未发生明显的临床吸收。1 例患者因肋软骨卷曲而行再次手术。无感染或移植物吸收需要修复。
在需要去除感染性异体移植物的修复性鼻整形术中，立即使用自体软骨进行重建的结果良好，并发症较少。
