Jang Yong Ju, Sinha Vikas
Department of Otorhinolaryngology Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea (South Korea).
Indian J Otolaryngol Head Neck Surg. 2007 Jun;59(2):100-2. doi: 10.1007/s12070-007-0031-4. Epub 2007 Sep 14.
The aim of study was to evaluate the effects of spreader graft in septorhinoplasty.
The study group comprised of 33 patients of various nasal deformities who underwent consecutive septorhinoplasty at Asan Medical Center, University of Ulsan, College of Medicine, Republic of Korea (South Korea). All the patients had undergone open rhinoplasty procedure. The submucous resection of septum was done, leaving 1 to 1.5 cm. of septal cartilage for dorsal and caudal support. The spreader graft was harvested from septal cartilage in 31 cases and costal cartilage in 2 cases. All the patients had undergone endonasal high to low to high osteotomy, paramedian osteotomy and percutaneous transverse osteotomy.The periosteum was not elevated in any case. The spreader graft was placed and secured with septal cartilage and upper lateral cartilage with suture material. Crushed small pieces of septal cartilage were used for dorsal augmentation. The tutuplast fascia lata was used to camouflage the dorsal irregularity.
All the cases had good aesthetically dorsal line, opening of internal nasal valve area and good septal support, which was weakened by the removal of deviated septum.
本研究的目的是评估鼻中隔鼻整形术中撑开移植片的效果。
研究组由33例各种鼻畸形患者组成，他们在韩国蔚山大学医学院峨山医学中心连续接受鼻中隔鼻整形术。所有患者均接受开放式鼻整形手术。进行鼻中隔黏膜下切除术，保留1至1.5厘米的鼻中隔软骨用于背侧和尾侧支撑。31例患者的撑开移植片取自鼻中隔软骨，2例取自肋软骨。所有患者均接受了鼻内由高到低再到高的截骨术、旁正中截骨术和经皮横向截骨术。在任何情况下均未掀起骨膜。用缝合材料将撑开移植片与鼻中隔软骨和上外侧软骨放置并固定。粉碎的小块鼻中隔软骨用于鼻背增高。阔筋膜用于掩盖鼻背不规则处。
所有病例的鼻背线在美学上均良好，鼻内瓣膜区开放，鼻中隔支撑良好，鼻中隔偏曲切除后鼻中隔支撑减弱。
